Rodrigo Bleza Mateo, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME104900 Issued in FL

Practice address

311 North Clyde Morris Blvd., Suite 480
Halifax Center for Transplant Services
Daytona Beach, FL 32114-2766

Phone

(386) 947-4650

Fax

(386) 947-4690

NPI assigned

Jul 10, 2006

Last updated

Dec 2, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Halifax Healthcare Systems Inc

  dba HHCSI Halifax Family Health Center

  • Family Medicine Physician
  • Daytona Beach, FL
  • NPI 1245283530

  Surgery

  Medicare reassignment NPD
• Florida Clinical Practice Association Inc

  dba UF Health Family Medicine Ocala Heath Brook

  • Durable Medical Equipment & Medical Supplies
  • Ocala, FL
  • NPI 1609529478
  NPD (past)
• Usc Surgeons, Inc.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1821034315
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1306870704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NORTH CLYDE MORRIS BLVD., SUITE 480",
            "address_2": "HALIFAX CENTER FOR TRANSPLANT SERVICES",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142766",
            "telephone_number": "386-947-4650",
            "fax_number": "386-947-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NORTH CLYDE MORRIS BLVD., SUITE 480",
            "address_2": "HALIFAX CENTER FOR TRANSPLANT SERVICES",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142766",
            "telephone_number": "386-947-4650",
            "fax_number": "386-947-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEO",
        "first_name": "RODRIGO",
        "middle_name": "BLEZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME104900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001299700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey L Massey, BCBA
• Douglas Lewis Massingill, D.D.S.
• Angela Marie Mastropiero, RCSWI
• Samsor Mateen, M.D.
• Theodore Frank Matejka, ARNP-BC
• Jennifer Lynn Matey, PA-C
• Nancy S Mather, ARNP-C
• Susan P. Mathew, M.D.
• Robert Mathis, ARNP
• Linda Matkovich, COTA

• Surgery Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.