WILLIE R. MATOS M.D. – NPI #1669675013
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

WILLIE MATOS is a physician located in CAGUAS, PR. NPPES has assigned the NPI number 1669675013 to WILLIE MATOS on June 05, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WILLIE MATOS below.

NPI Profile for
WILLIE R. MATOS

NPI Number
1669675013
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WILLIE R. MATOS
Credentials
M.D.
Primary location
195 CALLE GAUTIER BENITEZ
CAGUAS, PR 00725-5509
Phone: (787) 745-7455 Fax:
Mailing address
PO BOX 8128
CAGUAS, PR 00726-8128
Phone: (787) 405-3071 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
PR 5030

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.