Individual provider Active NPI

Jose G. Matos, M.D.

  • Ophthalmology Physician
  • San Juan, PR
National Provider Identifier
1295736452
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
6083 Issued in PR
Practice address
Edif Capital Center I
Hostos 239
San Juan, PR 00918-1474
Phone
(787) 281-0030
Fax
(787) 641-3392
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 6083 PR Primary

Addresses

Primary practice location

Edif Capital Center I
Hostos 239
San Juan, PR 00918-1474

Mailing address

Edif Capital Center I
Hostos 239
San Juan, PR 00918-1474
Phone (787) 281-0030

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
I20101008001115 PR Practitioner - Ophthalmology 2860684891 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

239 Capital Ctr Sur 1202 Host
San Juan, PR 00918
Phone (787) 281-0030

Capital Ctr Sur
1202 Hostos 239
San Juan, PR 00918

Edif Capital Ctr I
Hostos 239
San Juan, PR 00918-1474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1295736452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EDIF CAPITAL CENTER I",
            "address_2": "HOSTOS 239",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-281-0030",
            "fax_number": "787-641-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF CAPITAL CENTER I",
            "address_2": "HOSTOS 239",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181474",
            "telephone_number": "787-281-0030",
            "fax_number": "787-641-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "JOSE",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "6083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.