# GRUPO FISIATRICO CAROLINA, PSC. PHYSIATRIC SERVICES

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

## Provider details

- **NPI number:** 1417286113
- **Authorized official:** MR. LUIS A. SOTO M.D. (PRESIDENT)
- **Authorized official phone:** (787) 762-1319

## Contact information

- **Practice address:** AVE. MONSERRATE BH-11, VALLE ARRIBA HEIGHTS, CAROLINA, PR 00983
- **Practice address phone:** (787) 762-1319
- **Practice address fax:** (787) 276-4620
- **Mailing address:** P.O. BOX 4217, CAROLINA, PR 00984-4217
- **Mailing address phone:** (787) 762-1319
- **Mailing address fax:** (787) 276-4620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 10403 | PR | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 12562 | PR | — |

## Other

- **Enumeration date:** 12/09/2009
- **Last updated:** 12/09/2009