Individual provider Active NPI

Belisario Matta de Juan Sr., M.D.

  • Anesthesiology Physician
  • San Juan, PR
National Provider Identifier
1013992379
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
4154 Issued in PR
Practice address
Ashford Avenue 1357
Suite 2 PMB 423
San Juan, PR 00907-1420
Phone
(787) 725-7860
Fax
(787) 722-3630
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4154 PR Primary

Addresses

Primary practice location

Ashford Avenue 1357
Suite 2 PMB 423
San Juan, PR 00907-1420

Mailing address

PMB 423 Suite 2
1357 Ashford Ave.
San Juan, PR 00907-1420
Phone (787) 725-7860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4154PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013992379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 423 SUITE 2",
            "address_2": "1357 ASHFORD AVE.",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071420",
            "telephone_number": "787-725-7860",
            "fax_number": "787-722-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASHFORD AVENUE 1357",
            "address_2": "SUITE 2 PMB 423",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071420",
            "telephone_number": "787-725-7860",
            "fax_number": "787-722-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA DE JUAN",
        "first_name": "BELISARIO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "4154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.