Individual
ANGELICA MARIA SOBERON-CASSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 DOCTORS DR, GREENVILLE, SC 29605-5622
(864) 797-7100
(864) 797-7105
Mailing address
126 VERDAE CREST DR, GREENVILLE, SC 29607-3961
(864) 546-0153
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
157658
MT
208100000X
Physical Medicine & Rehabilitation Physician
35184
WV
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35710
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPROVED
RAILROAD MEDICARE
SC
05
—
APPROVED
—
SC
Enumeration date
04/01/2009
Last updated
03/11/2026
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