NPI 1154861011
Cm Physiatry Psc
Practice location
- Address
- 419 Ave Ponce de Leon STE 102, San Juan, PR 00917
- Phone
- (787) 754-0725
- Mailing address
- PO Box 194793, San Juan, PR 00919-4793
Authorised official
- Name
- Carla Matos
- Title
- President
- Phone
- (787) 410-6469
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1154861011
- Entity type
- Organization
- NPI issued
- 26 Feb 2017
- Record last updated
- 27 Jul 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.