Active NPI
Yamil Mateo, MD
- General Practice Physician
- Salinas, PR
National Provider Identifier
1063555498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 6816
- 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, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 400209 | Other | PR | MMM HEALTHCARE |
| 7510006 | Other | PR | HUMANA ADVANTAGE |
| 069676 | Other | PR | CRUZ AZUL DE PR |
| 28299 | Other | PR | TRIPLE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131125000926 | PR | Practitioner - General Practice | 4789810680 | Practice locations: Salinas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6816 | PR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Primary Care Clinic/Center
- Salinas, PR
- NPI 1730509209
-
- Clinic/Center
- Salinas, PR
- NPI 1811256589
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
- Ferdinand Marin, MD
- Selena Torres Marrero I, ENFERMERA
- Aileen W Martinez Gonzalez, EMERGENCY PARAMEDIC
- Vivian Yasmin Martinez, M.S.
- Guillermo Mateo Moreno
- Mayda Martinez (Hollywood Optical)
- Medical Group a&K Inc
- Medicina Primaria Dra Lopez Nieves LLC
- Medicos Hospitalistas Sureste CSP
- Paola Medina Collazo, PHARM D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.