Omar Ali Ahmed Matamoros, RN
Individual provider Active NPI Registered Nurse · Pinecrest, FL
NPI 1093634131 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1093634131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN9700047 (FL)
- Practice address
- 8600 SW 67TH Ave Apt 909
Pinecrest, FL 33156-1100 - Phone
- (305) 990-3822
- NPI assigned
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9700047 | FL | Yes |
Addresses
Primary practice location
8600 SW 67TH Ave Apt 909
Pinecrest, FL 33156-1100
Mailing address
8600 SW 67TH Ave Apt 909
Pinecrest, FL 33156-1100
Phone (305) 990-3822
Other providers in Pinecrest, FL
- Abc Behavior Development, LLC
- Bonnie Aberson
- Above & Beyond Behavior Development, Inc.
- Julian Daniel Abreu
- Luis Aguirre
- Allbetech Inc
- Lisa Ally
- Alpph Medical Services Corp
- Rosina Esther Altamiranda
- Cari Altman
All providers in Pinecrest, FL · Registered Nurse in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.