Individual provider Active NPI

Jose A. Mattei, DPM

  • Foot & Ankle Surgery Podiatrist
  • Arecibo, PR
National Provider Identifier
1063406205
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
44 Issued in PR
Practice address
301 Manuel Perez Aviles Street
Arecibo, PR 00612
Phone
(787) 880-2954
Fax
(787) 880-3463
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 44 PR Primary

Addresses

Primary practice location

301 Manuel Perez Aviles Street
Arecibo, PR 00612

Mailing address

PO Box 140272
Arecibo, PR 00614-0272
Phone (787) 880-2954

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120227000550 PR Practitioner - Podiatry 8325206097 Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Manuel Perez Aviles
Arecibo, PR 00612
Phone (787) 880-2954

301 Manuel Perez Aviles St
Arecibo, PR 00612

Hospital & facility affiliations

  • Luz de Esperanza Home Care Inc Home health agency, Alt de Luchetti, PR, CCN 407030
  • Hospital Metropolitano Dr Susoni Hospital, Arecibo, PR, CCN 400117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue119
Removal of nail tissue39
Removal or shaving of skin growth137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44PRMDIntegrative Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Dr. Susoni. Inc. Past 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 2

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1063406205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140272",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140272",
            "telephone_number": "787-880-2954",
            "fax_number": "787-880-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MANUEL PEREZ AVILES STREET",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-880-2954",
            "fax_number": "787-880-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEI",
        "first_name": "JOSE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PR",
            "license": "44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.