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

Andy Raul Manzano Matos, PA

Individual provider Medical Physician Assistant · NPI 1043913163

Andy Raul Manzano Matos, PA is a Medical Physician Assistant in San Antonio, Texas. Practices as a sole proprietor. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

11329 W Ave
San Antonio, TX 78213-1341
Phone: (210) 886-8666
Fax: (210) 886-8667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1551 (PR)

Record details

NPI number1043913163
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023

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