Individual
RICHARD P SAN ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 TOLL GATE RD, SUITE 305, WARWICK, RI 02886-4458
(401) 738-2601
(401) 738-2660
Mailing address
215 TOLL GATE RD, SUITE 305, WARWICK, RI 02886-4458
(401) 738-2601
(401) 738-2660
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
6410
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000485
BLUE CROSS
RI
01
—
0005592221
AETNA
—
01
—
006410
TUFTS
—
01
—
050415620
CIGNA
—
01
—
2500217
UNITED HEALTH
RI
05
—
9000485
—
RI
01
—
AA39929
HARVARD PILGRIM
—
01
—
P12043590
MULTI PLAN
—
Enumeration date
01/04/2006
Last updated
06/21/2021
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