Active NPI
Nelson A. Matos-Fernandez, MD
- Hematology & Oncology Physician
- Santa Isabel, PR
National Provider Identifier
1124214903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 16901
- Practice address
- Carretera 153 KM 7.3 Plaza Santa Isabel Suite 15
Santa Isabel, PR 00797-0000 - Phone
- (787) 845-0805
- Fax
- (787) 845-0806
- NPI assigned
- Sep 14, 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 16901 | PR | Primary |
Addresses
Primary practice location
Carretera 153 KM 7.3 Plaza Santa Isabel Suite 15
Santa Isabel, PR 00797-0000
Mailing address
PO Box 937
Coamo, PR 00769-0937
Phone (787) 479-2608
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
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Carr 153 KM
3 Plaza Santa Isabel Suite 15
Santa Isabel, PR 00757
Phone (787) 479-2608
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Hematologia Y Oncologia del Sur, CSP | Current | Accepting new patients | |
| Ponce Medical School Foundation Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infusion Therapy Clinic/Center
- Santa Isabel, PR
- NPI 1841594785
-
- Oncology Clinic/Center
- Santa Isabel, PR
- NPI 1740557503
-
- Multi-Specialty Clinic/Center
- Ponce, PR
- NPI 1043208804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294790400000",
"number": "1124214903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 937",
"city": "COAMO",
"state": "PR",
"postal_code": "007690937",
"telephone_number": "787-479-2608",
"fax_number": "787-845-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA 153 KM 7.3 PLAZA SANTA ISABEL SUITE 15",
"city": "SANTA ISABEL",
"state": "PR",
"postal_code": "007970000",
"telephone_number": "787-845-0805",
"fax_number": "787-845-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS-FERNANDEZ",
"first_name": "NELSON",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-14",
"last_updated": "2011-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PR",
"license": "16901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Isabel, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.