MEDICARE: ASA CARDIOLOGY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1598614208
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASA CARDIOLOGY LLC

Provider Business Mailing Address
First Line	:	PO BOX 659
Second Line	:	SUITE 109
City	:	ARECIBO
State	:	PR
Zip	:	00613-0659
Country	:	US
Telephone Number	:	787-650-7272
Fax Number	:

Provider Business Practice Location Address
First Line	:	SUITE 109 CARR 129 KM 1.0
Second Line	:	AVE SAN LUIS
City	:	ARECIBO
State	:	PR
Zip	:	00612-3373
Country	:	US
Telephone Number	:	787-650-7272
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT / OWNER
Name	:	ANDREA PAOLA SAN ANTONIO SIERRA
Credential	:	MD
Telephone Number	:	787-650-7272

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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