Individual provider Active NPI

Yamil Mateo, MD

  • General Practice Physician
  • Salinas, PR
National Provider Identifier
1063555498
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6816 Issued in PR
Practice address
74 Calle Monserrate
Salinas, PR 00751-3263
Phone
(787) 824-0050
Fax
(787) 824-0050
NPI assigned
Feb 15, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 6816 PR Primary

Addresses

Primary practice location

74 Calle Monserrate
Salinas, PR 00751-3263

Mailing address

PO Box 134
Salinas, PR 00751-0134
Phone (787) 824-0050

Other identifiers 4

IdentifierTypeStateIssuer
400209OtherPRMMM HEALTHCARE
7510006OtherPRHUMANA ADVANTAGE
069676OtherPRCRUZ AZUL DE PR
28299OtherPRTRIPLE S

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
I20131125000926 PR Practitioner - General PracticePractitioner - Family Practice 4789810680 Practice locations: Salinas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6816PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yamcely Medical Services CSP Past Accepting new patients
Yamcely Medical Services CSP Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063555498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007510134",
            "telephone_number": "787-824-0050",
            "fax_number": "787-824-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 CALLE MONSERRATE",
            "city": "SALINAS",
            "state": "PR",
            "postal_code": "007513263",
            "telephone_number": "787-824-0050",
            "fax_number": "787-824-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "YAMIL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "6816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTHCARE",
            "identifier": "400209",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA ADVANTAGE",
            "identifier": "7510006",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PR",
            "identifier": "069676",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "28299",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, PR

Sources for this page

Verify at the official NPI Registry.