Rivera Roman, Marcos Antonio

Rivera Roman, Marcos Antonio is an individual health care provider with primary practice located at 3647 S Orlando Dr , Sanford FL 32773-5611. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Rivera Roman, Marcos Antonio can be contacted via phone (407) 541-0115.

Contact Information

Primary practice address
3647 S Orlando Dr Sanford FL 32773-5611
Phone: (407) 541-0115
Fax: (407) 344-7910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN1503 Florida

Profile Details

NPI number 1043956741
LBN Legal business name Rivera Roman, Marcos Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2022
Last updated Feb 17th, 2026 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043956741 NPPES
Florida MEDICAID 117196700

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