| NPI | 1184329567 |
|---|---|
| Former Legal Business Name | SAN ANTONIO MEDICAL LLC |
| Entity Type | Organization |
| Authorized Contact | MIGUEL TORRES Physician 787-630-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-07-21 |