Individual provider Active NPI

Jose Julio Perez Matamoros, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1033439013
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18174 Issued in PR
Practice address
Carr 172
Urbanizacion Turabo Gardens
Caguas, PR 00725-0000
Phone
(787) 243-0498
NPI assigned
Jun 1, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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 18174 PR Primary

Addresses

Primary practice location

Carr 172
Urbanizacion Turabo Gardens
Caguas, PR 00725-0000

Mailing address

PO Box 9206
San Juan, PR 00908-0206
Phone (787) 243-0498

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
I20110628000129 PR Practitioner - General Practice 2668650300 Reassigns benefits to 1 organization
Practice locations: Aibonito, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3 Carr
14 KM
Cayey, PR 00736-3714
Phone (787) 263-1001

Hospital & facility affiliations

  • Hospital Menonita de Cayey Hospital, Cayey, PR, CCN 400013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18174PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Perez Matamoros Medical Services LLC General Practice CurrentSince Aug 9, 2018 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1033439013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9206",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009080206",
            "telephone_number": "787-243-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 172",
            "address_2": "URBANIZACION TURABO GARDENS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007250000",
            "telephone_number": "787-243-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ MATAMOROS",
        "first_name": "JOSE",
        "middle_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.