Provider Demographics
NPI:1366510059
Name:SERVICIOS FISIATRICOS RABER
Entity type:Organization
Organization Name:SERVICIOS FISIATRICOS RABER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNIER SOTO
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:787-845-3000
Mailing Address - Street 1:PO BOX 3000
Mailing Address - Street 2:SUITE 510
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769
Mailing Address - Country:US
Mailing Address - Phone:787-845-3000
Mailing Address - Fax:787-709-4675
Practice Address - Street 1:PLAZA OASIS CARR 153 EDIF D6
Practice Address - Street 2:
Practice Address - City:SANTA ISABEL
Practice Address - State:PR
Practice Address - Zip Code:00757
Practice Address - Country:US
Practice Address - Phone:787-845-3000
Practice Address - Fax:787-709-4675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY195583208100000X
FLME0069343208100000X
PR11713208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR85499Medicare PIN
PRF87515Medicare UPIN