Provider Demographics
NPI:1992359582
Name:SAN ANTONIO SIERRA, ANDREA PAOLA (MD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:PAOLA
Last Name:SAN ANTONIO SIERRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:SAN ANTONIO SIERRA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 335494
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-5494
Mailing Address - Country:US
Mailing Address - Phone:787-844-2080
Mailing Address - Fax:
Practice Address - Street 1:METROPOLITAN OFFICE BUILDING
Practice Address - Street 2:153 AVE JOSE DE DIEGO STE 5
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4779
Practice Address - Country:US
Practice Address - Phone:787-424-4761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-31
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22407207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease