Individual provider Active NPI

Frances Mary Rodriguez Matos, M.D.

  • General Practice Physician
  • Penuelas, PR
National Provider Identifier
1013150895
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17514 Issued in PR
Practice address
Oficina Medica Williams, Street Luis Munoz Rivera 404
Penuelas, PR 00624-2015
Phone
(787) 836-1649
Fax
(787) 836-3403
NPI assigned
Apr 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17514 PR Primary

Addresses

Primary practice location

Oficina Medica Williams, Street Luis Munoz Rivera 404
Penuelas, PR 00624-2015

Mailing address

PO Box 966
Penuelas, PR 00624-0966
Phone (787) 836-1649

Other identifiers 1

IdentifierTypeStateIssuer
1013150895MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091005000359 PR Practitioner - General Practice 8527104587 Reassigns benefits to 1 organization
Practice locations: Penuelas, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17514PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Centro, Inc. General Practice CurrentSince Feb 15, 2011 Accepting new patients
Med Centro, Inc. CurrentSince Feb 15, 2011 Accepting new patients

Locations

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1013150895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006240966",
            "telephone_number": "787-836-1649",
            "fax_number": "787-836-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFICINA MEDICA WILLIAMS, STREET LUIS MUNOZ RIVERA 404",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006242015",
            "telephone_number": "787-836-1649",
            "fax_number": "787-836-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MATOS",
        "first_name": "FRANCES",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013150895",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

Verify at the official NPI Registry.