Active NPI
Richard P. San Antonio M.D. Facc Inc.
- Cardiovascular Disease Physician
- Warwick, RI
National Provider Identifier
1669647012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- RICHARD P. SAN ANTONIO M.D. FACC INC.
- Practice address
- 215 Toll Gate Rd
Suite 305
Warwick, RI 02886-4458 - Phone
- (401) 738-2601
- Fax
- (401) 738-2660
- NPI assigned
- Apr 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard P. San Antonio, M.D.
- Title
- Owner
- Phone
- (401) 738-2601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
215 Toll Gate Rd
Suite 305
Warwick, RI 02886-4458
Mailing address
215 Toll Gate Rd
Suite 305
Warwick, RI 02886-4458
Phone (401) 738-2601
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P12043590 | Other | MULTIPLAN | |
| 0005592221 | Other | AETNA | |
| AA39929 | Other | HARVARD/PILGRIM | |
| 9000485 | Medicaid | RI | |
| 000485 | Other | RI | BLUECROSS |
| 006410 | Other | TUFTS | |
| 2500217 | Other | RI | UNITED HEALTH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1669647012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 TOLL GATE RD",
"address_2": "SUITE 305",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864458",
"telephone_number": "401-738-2601",
"fax_number": "401-738-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 TOLL GATE RD",
"address_2": "SUITE 305",
"city": "WARWICK",
"state": "RI",
"postal_code": "028864458",
"telephone_number": "401-738-2601",
"fax_number": "401-738-2660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD P. SAN ANTONIO M.D. FACC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-28",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "SAN ANTONIO",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "401-738-2601",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "P12043590",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005592221",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD/PILGRIM",
"identifier": "AA39929",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000485",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "000485",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "006410",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "2500217",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warwick, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.