1457388100 NPI number — DR. JOSE RAIMUNDO MATOS D.M.D.

Table of content: DR. JOSE RAIMUNDO MATOS D.M.D. (NPI 1457388100)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457388100 NPI number — DR. JOSE RAIMUNDO MATOS D.M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MATOS
Provider First Name:
JOSE
Provider Middle Name:
RAIMUNDO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457388100
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/26/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 70171
Provider Second Line Business Mailing Address:
PMB60
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00936-8171
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-756-6125
Provider Business Mailing Address Fax Number:
787-756-6125

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PLAZA P.R. SHOPPING CENTER MARGINAL SEIN
Provider Second Line Business Practice Location Address:
KM. 16.1
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-756-6125
Provider Business Practice Location Address Fax Number:
787-756-6125
Provider Enumeration Date:
06/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  1987 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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