Individual provider Active NPI

Nelson A. Matos-Fernandez, MD

  • Hematology & Oncology Physician
  • Santa Isabel, PR
National Provider Identifier
1124214903
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
16901 Issued in PR
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

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100819001256 PR Practitioner - Hematology/Oncology 3375677719 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.