Organization
CM PHYSIATRY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA MATOS M.D. (PRESIDENT)
(787) 410-6469
Entity
Organization
Contact information
Practice address
419 AVE PONCE DE LEON STE 102, SAN JUAN, PR 00917
(787) 754-0725
Mailing address
PO BOX 194793, SAN JUAN, PR 00919-4793
(787) 410-6469
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/26/2017
Last updated
07/27/2018
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