NPIMap

Organization Active NPI

Grupo Fisiatrico Carolina, PSC. Physiatric Services

  • Physical Medicine & Rehabilitation Physician
  • Carolina, PR
National Provider Identifier
1417286113
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
10403 Issued in PR
Legal business name
GRUPO FISIATRICO CAROLINA, PSC. PHYSIATRIC SERVICES
Practice address
Ave. Monserrate BH-11
Valle Arriba Heights
Carolina, PR 00983
Phone
(787) 762-1319
Fax
(787) 276-4620
NPI assigned
Dec 9, 2009
Last updated
Dec 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Luis A. Soto, M.D.NPI 1487639803
Title
President
Phone
(787) 762-1319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 10403 PR Primary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 12562 PR

Addresses

Primary practice location

Ave. Monserrate BH-11
Valle Arriba Heights
Carolina, PR 00983

Mailing address

P.O. Box 4217
Carolina, PR 00984-4217
Phone (787) 762-1319

National Provider Directory

National Provider Directory

Locations

BH11 Calle 110
Carolina, PR 00983
Phone (787) 762-1319

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1417286113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4217",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009844217",
            "telephone_number": "787-762-1319",
            "fax_number": "787-276-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. MONSERRATE BH-11",
            "address_2": "VALLE ARRIBA HEIGHTS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-762-1319",
            "fax_number": "787-276-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO FISIATRICO CAROLINA, PSC. PHYSIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-762-1319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "10403",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "12562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.