Mitchell Marasigan Matundan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15770 Issued in PR

Practice address

73 Santa Cruz Edificio Medico
Suite 203
Bayamon, PR 00961

Phone

(787) 269-6391

Fax

(787) 269-6442

NPI assigned

Mar 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

University Central del Caribe Escuela de Medicina, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1063489557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SANTA CRUZ EDIFICIO MEDICO",
            "address_2": "SUITE 203",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-269-6391",
            "fax_number": "787-269-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 SANTA CRUZ EDIFICIO MEDICO",
            "address_2": "SUITE 203",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-269-6391",
            "fax_number": "787-269-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUNDAN",
        "first_name": "MITCHELL",
        "middle_name": "MARASIGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrna Marie Matos
• Nayda Matos
• Nilsa Matos
• Priscilla Matos
• Sandra Aissa Mattos, SLP
• Jose Amado Maymi Rivera, M.D.
• Patricia N Maymi-Castrodad, M.D.
• Tamara Maysonet, LMT
• Yarieli Maysonet
• MB Advanced Surgery Group LLC

• Internal Medicine Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.