Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Centro Medico San Antonio LLC

Organization Family Medicine Physician · NPI 1346972858

Centro Medico San Antonio LLC provides Family Medicine Physician services in Norcross, Georgia. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5139 Jimmy Carter Blvd Ste 203
Norcross, GA 30093-1638
Phone: (770) 885-9684
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1346972858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nancy Reyes — Manager · (770) 885-9684
NPI enumeratedJune 24, 2022
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022
Mailing address5139 Jimmy Carter Blvd Ste 203, Norcross, GA 30093-1638

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