San Rafael Medical Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAN RAFAEL MEDICAL CENTER LLC

Practice address

1620 S Padre Island Dr Ste 180
Corpus Christi, TX 78416-1361

Phone

(361) 221-1905

Fax

(361) 201-5540

NPI assigned

Jun 23, 2022

Last updated

Nov 19, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angela R Leon GranadoNPI 1932873445

Title

FNP

Phone

(361) 221-1905

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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.

• Angela Leon Granado

  • Family Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1932873445
  Medicare reassignment NPD Authorized official
• Elio Gonzalez Miranda

  • Family Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1568136075
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1548991037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 S PADRE ISLAND DR STE 180",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784161361",
            "telephone_number": "361-221-1905",
            "fax_number": "361-201-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 S PADRE ISLAND DR STE 180",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784161361",
            "telephone_number": "361-221-1905",
            "fax_number": "361-201-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN RAFAEL MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "LEON GRANADO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "361-221-1905"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Duro Oloyo, M.D.,P.a. (South Texas Medical Associates)
• Samuel L Gordon Professional Limited Liability Company (Five Points Chiropractic)
• San Antonio Orthotics Corporation (Nueces Prosthetics & Orthotics)
• Kishia Eileen San Gabriel
• Stacie San Pedro
• San Rafael Operations Inc. (San Rafael Nursing and Rehabilitation Center)
• Sana Omnia Professional Limited Liability Company
• Debra Sanchez Rodriguez, RN
• Ariel Marie Sanchez-Pousson
• Ashley Villagran Sanchez, FNP

• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.