Provider Demographics
NPI:1477863025
Name:COLON SANTIAGO, ANGELA MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:MARIA
Last Name:COLON SANTIAGO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2600 S DOUGLAS RD STE 308
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6134
Mailing Address - Country:US
Mailing Address - Phone:863-295-5604
Mailing Address - Fax:863-295-5398
Practice Address - Street 1:950 1ST ST S
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33880-3665
Practice Address - Country:US
Practice Address - Phone:863-295-5604
Practice Address - Fax:863-295-5398
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR18042208D00000X
FLACN647208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice