# GRUPO FISIATRICO CAROLINA LLC

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

## Provider details

- **NPI number:** 1619358033
- **Authorized official:** MAITE URQUIA ARAN MD (PRESIDENTA)
- **Authorized official phone:** (787) 400-0102

## Contact information

- **Practice address:** 124 CALLE PLAZA SERENA, URB ENTRERIOS, TRUJILLO ALTO, PR 00976-0000
- **Practice address phone:** (787) 400-0102
- **Practice address fax:** (939) 336-2485
- **Mailing address:** 5-3 CALLE 8, URB SABANA GARDENS, CAROLINA, PR 00983
- **Mailing address phone:** (787) 400-0102
- **Mailing address fax:** (939) 336-2485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 14221 | PR | Yes |

## Other

- **Enumeration date:** 06/11/2015
- **Last updated:** 06/11/2015