Nelson a Mata

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NELSON A MATA

Practice address

603 South Nebraska
San Juan, TX 78589-2647

Phone

(956) 121-0663

Fax

(956) 787-2666

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Beth Peters, RHIA

Title

Office Manager

Phone

(956) 630-4155

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nelson A Mata, MD

  • Internal Medicine Physician
  • San Juan, TX
  • NPI 1518931377

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1154643153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 S. NEBRASKA",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892647",
            "telephone_number": "956-787-0669",
            "fax_number": "956-787-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 SOUTH NEBRASKA",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785892647",
            "telephone_number": "956-121-0663",
            "fax_number": "956-787-2666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON A MATA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-630-4155",
        "authorized_official_credential": "RHIA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exzita Anthony Munoz
• Nicolette Danielle Munoz
• My Provider
• National Vision Inc
• Jessica Nava, RN
• New Hope Education and Prevention Services LLC
• Chau Nguyen
• Michael Aaron Nino, LCSW
• Olga R Nouri, DMD
• Nuestra Clinica del Valle, Inc.

• All providers in San Juan, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.