San Antonio Medical,P.S.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

13088 Issued in PR

Legal business name

SAN ANTONIO MEDICAL,P.S.C.

Practice address

19 Calle Acuario
Suite 4
San Juan, PR 00926-4902

Phone

(787) 293-0505

Fax

(787) 293-0589

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Maria Celeste San Antonio, MD

Title

President

Phone

(787) 293-0505

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aurea L Delgado Rodriguez, MD

  • Dermatology Physician
  • San Juan, PR
  • NPI 1649254657
  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912100140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CALLE ACUARIO",
            "address_2": "SUITE 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264902",
            "telephone_number": "787-293-0505",
            "fax_number": "787-293-0589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 CALLE ACUARIO",
            "address_2": "SUITE 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264902",
            "telephone_number": "787-293-0505",
            "fax_number": "787-293-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO MEDICAL,P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAN ANTONIO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-293-0505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "13088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.