Active NPI
Jose G Matos Sr.
- Pharmacy Technician
- Dorado, PR
National Provider Identifier
1184040834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 9770
- Practice address
- 269 Calle Mendez Vigo
Dorado, PR 00646 - Phone
- (787) 796-1155
- Fax
- (787) 796-8747
- NPI assigned
- Mar 5, 2014
- Last updated
- Mar 5, 2014
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 9770 | PR | Primary |
Addresses
Primary practice location
269 Calle Mendez Vigo
Dorado, PR 00646
Mailing address
PO Box
461
Dorado, PUERTO RICO 00646
UM
Phone (787) 796-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9770 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MC Drug LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393977600000",
"number": "1184040834",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "PO BOX",
"address_2": "461",
"city": "DORADO",
"state": "PUERTO RICO",
"postal_code": "00646",
"telephone_number": "787-796-1155",
"fax_number": "787-796-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 CALLE MENDEZ VIGO",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-796-1155",
"fax_number": "787-796-8747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS",
"first_name": "JOSE",
"middle_name": "G",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-05",
"last_updated": "2014-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": "9770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.