# CM PHYSIATRY PSC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154861011
- **Authorized official:** MRS. CARLA MATOS M.D. (PRESIDENT)
- **Authorized official phone:** (787) 410-6469

## Contact information

- **Practice address:** 419 AVE PONCE DE LEON STE 102, SAN JUAN, PR 00917
- **Practice address phone:** (787) 754-0725
- **Mailing address:** PO BOX 194793, SAN JUAN, PR 00919-4793
- **Mailing address phone:** (787) 410-6469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2017
- **Last updated:** 07/27/2018