Matercare LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

MATERCARE LLC

Practice address

520 Calle Jose R Acosta
San Juan, PR 00918-2847

Phone

(787) 753-7800

Fax

(787) 753-4882

NPI assigned

Jul 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Xavier Alexis Traverso, C.P.A.

Title

Chief Technology Officer & Director

Phone

(787) 236-6767

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1114367448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 364087",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009364087",
            "telephone_number": "787-753-7800",
            "fax_number": "787-753-4882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 CALLE JOSE R ACOSTA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182847",
            "telephone_number": "787-753-7800",
            "fax_number": "787-753-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATERCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-01",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A",
        "authorized_official_last_name": "TRAVERSO",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "CHIEF TECHNOLOGY OFFICER & DIRECTOR",
        "authorized_official_telephone_number": "787-236-6767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.A."
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Xavier Mateo Santiago, PSYD
• Enid M Mateo-Reyes, M.D.
• Amada Argentina Mateo, BSN
• Lourdes Yamilka Mateo
• Mara M. Mateo, O.T.
• Maternal Fetal Medicine & Ginecology Center
• Kianeysha Matias Nieves
• Ayra Matias, MS OTL
• Jose R Matias
• Tania Marie Matias, M.D.

• All providers in San Juan, PR
• Non-Pharmacy Dispensing Site in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.