Lourdes Matamoros, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

16-352

Practice address

2140 W 68 St
Suite 200
Hialeah, FL 33016

Phone

(305) 822-7227

Fax

(305) 827-6333

NPI assigned

Jan 20, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1154868719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W 68 ST SUITE 200",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-822-7227",
            "fax_number": "305-827-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W 68 ST",
            "address_2": "SUITE 200",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-822-7227",
            "fax_number": "305-827-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATAMOROS",
        "first_name": "LOURDES",
        "name_prefix": "Ms.",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": "16-352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsa Mastrapa, RBT
• Dayna Mastronardi, DO
• Helena Cristina Santos Da Mata
• Vivian Mata
• Yusleidys Matachana
• Yamila Matanza
• Maternal Care Network
• Michelle Mateus Twitchell, MD
• Melissa Victoria Matheus, MD
• Gijo Mathew, PHARM.D

• Surgical Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.