Juan Carlos Matos Sotolongo, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

24-175 Issued in FL

Practice address

6844 Cavacade Dr Apt 44-T
Tampa, FL 33614-4517

Phone

(813) 378-2972

NPI assigned

Feb 29, 2024

Last updated

Feb 29, 2024By 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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1326805086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6844 CAVACADE DR APT 44-T",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144517",
            "telephone_number": "813-378-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6844 CAVACADE DR APT 44-T",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336144517",
            "telephone_number": "813-378-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS SOTOLONGO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "24-175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garett R Matley
• Matmed LLC (Miami Wellness)
• Ayled Matos Diaz
• Daylan Matos Perez
• Lisset Matos Ramirez
• Elizabeth Matos-Berk, ARNP
• Franklin Matos, R.PH., C.PH.
• Grace Matos, CRNA
• Lauren Matos, LMHC
• Mary Ann Franjul Matos, APRN CNM

• Surgical Assistant in Tampa, FL
• Providers in Tampa, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.