# SAN ANTONIO MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Antonio Medical LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184329567
- **Authorized official:** MIGUEL TORRES MD (PHYSICIAN)
- **Authorized official phone:** (787) 630-0173

## Contact information

- **Practice address:** BARRIO CACAO, CARRETERA 474 KM 0.1, QUEBRADILLAS, PR 00678
- **Practice address phone:** (787) 630-0173
- **Mailing address:** PO BOX 1366, ISABELA, PR 00662-1366
- **Mailing address phone:** (787) 630-0173
- **Mailing address fax:** (939) 666-0390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2023
- **Last updated:** 07/21/2023