Organization Active NPI

San Antonio Medical LLC

  • Exclusive Provider Organization
  • Quebradillas, PR
National Provider Identifier
1184329567
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
SAN ANTONIO MEDICAL LLC
Practice address
Barrio Cacao
Carretera 474 KM 0.1
Quebradillas, PR 00678
Phone
(787) 630-0173
NPI assigned
Apr 4, 2023
Last updated
Jul 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miguel Torres, MDNPI 1801857883
Title
Physician
Phone
(787) 630-0173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X NU Primary

Addresses

Primary practice location

Barrio Cacao
Carretera 474 KM 0.1
Quebradillas, PR 00678

Mailing address

PO Box 1366
Isabela, PR 00662-1366
Phone (787) 630-0173

Other names 1

  • San Antonio Medical LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689897600000",
    "number": "1184329567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1366",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006621366",
            "telephone_number": "787-630-0173",
            "fax_number": "939-666-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARRIO CACAO",
            "address_2": "CARRETERA 474 KM 0.1",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-630-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "787-630-0173",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio Medical LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.