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 is a Family Medicine Physician 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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