Betty Matos, RN

Individual provider Active NPI Registered Nurse · Loiza, PR

NPI 1184953671 · NPPES record last updated Dec 14, 2009

Key facts

NPI
1184953671
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
14874 (PR)
Practice address
Ave.187 Parcelas Suarez
HC-01 Box 3302
Loiza, PR 00772
Phone
(787) 220-8079
NPI assigned
Dec 14, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
14874PRMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 14874 PR Yes

Addresses

Primary practice location

Ave.187 Parcelas Suarez
HC-01 Box 3302
Loiza, PR 00772

Mailing address

HC-01 Box 3302
Ave.187 Parcelas Suarez
Loiza, PR 00772
Phone (787) 220-8079

Other providers in Loiza, PR

All providers in Loiza, PR · Registered Nurse in Puerto Rico

Sources for this page

Verify at the official NPI Registry.