Active NPI
Elba M Matos Millan, MS
- Audiologist
- Ceiba, PR
National Provider Identifier
1104891555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 501
- Practice address
- Calle Angel Ramos 1141
Ceiba, PR 00735 - Phone
- (787) 885-7771
- Fax
- (787) 885-7771
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 501 | PR | Primary |
Addresses
Primary practice location
Calle Angel Ramos 1141
Ceiba, PR 00735
Mailing address
PO Box 90
Ceiba, PR 00735-0090
Phone (787) 885-7771
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200930000686 | PR | Practitioner - Qualified Audiologist | 4486073111 | Practice locations: Ceiba, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 501 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1104891555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90",
"city": "CEIBA",
"state": "PR",
"postal_code": "007350090",
"telephone_number": "787-885-7771",
"fax_number": "787-885-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE ANGEL RAMOS 1141",
"city": "CEIBA",
"state": "PR",
"postal_code": "00735",
"telephone_number": "787-885-7771",
"fax_number": "787-885-7771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS MILLAN",
"first_name": "ELBA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "PR",
"license": "501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ceiba, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.