MEDICARE: DR. ROSELIA GUILLEN-SANTANA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	240701	NY

General Provider Information

NPI Number	:	1235140922
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSELIA GUILLEN-SANTANA M.D.

Provider Business Mailing Address
First Line	:	250 FULTON AVE FL 1
Second Line	:
City	:	HEMPSTEAD
State	:	NY
Zip	:	11550-3917
Country	:	US
Telephone Number	:	516-497-7520
Fax Number	:	516-280-9051

Provider Business Practice Location Address
First Line	:	250 FULTON AVE FL 1
Second Line	:
City	:	HEMPSTEAD
State	:	NY
Zip	:	11550-3917
Country	:	US
Telephone Number	:	516-497-7520
Fax Number	:	516-280-9051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	06/16/2026

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