While the majority of care offered is good, if you have questions, or want information regarding tests, treatments and procedures before you actually decide, I encourage you to look elsewhere. If you want polite, respectful communication from your medical provider, I encourage you to look elsewhere. Asking questions is frowned upon, and in some cases, not tolerated. I don't mean to over-simplify... but instead of giving information, or even suggesting sources to check out, they would prefer that you find another provider. In addition to the receptionists consistently displaying curt, impatient and rude behavior... so too do the medical assistance staff, despite efforts on the patients part. This is a significant change, and an unfortunate one. I believe that Dr. San Miguel is very intelligent, and excellent in the area of medicine, but her communication style impedes her ability to perform, as do the staff that are hired for the front desk. My hope is that public reviews will help facilitate change so that Dr. San Miguel can be appreciated for the educated medical professional that she is. I would hope that they would move to a model of care that encourages educated choices, and that patients are fully informed prior to treatments, tests and procedures. Even offering handouts on upcoming tests would be helpful, and being open to conversations regarding patient concern would make all the difference.