Christian Oscar Matos Mauad, SURGICAL ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

16-663 Issued in FL

Practice address

12709 Miramar Pkwy
Miramar, FL 33027-2902

Phone

(954) 367-7984

Fax

(954) 367-7986

NPI assigned

Nov 16, 2017

Last updated

Nov 16, 2017By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510790400000",
    "number": "1316451073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 SW 4TH ST APT 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331302262",
            "telephone_number": "305-588-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 MIRAMAR PKWY",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272902",
            "telephone_number": "954-367-7984",
            "fax_number": "954-367-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS MAUAD",
        "first_name": "CHRISTIAN",
        "middle_name": "OSCAR",
        "name_prefix": "Mr.",
        "credential": "SURGICAL ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "16-663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Mathieu, MSW
• Jean Marc Mathurin, SA-C
• Sobrina Mathurin
• Leah Marie Matlock, M.D.
• Keyla Matos Cuello
• Omar Matos Wilson
• Amy Matos
• Yenis D Matos
• Carlos Lydell Matthews
• Jonell Matthews, APRN

• Surgical Physician Assistant in Miramar, FL
• Providers in Miramar, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.