Jorge Matus, PAC PHYSICIAN ASSIST

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9101499 Issued in FL

Practice address

9600 SW 8TH St Ste 18
Miami, FL 33174-2947

Phone

(305) 266-0600

Fax

(305) 266-2040

NPI assigned

Feb 14, 2008

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

8TH Street Medical Center, IncGroup PAC ID 2668788647, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• 8TH Street Medical Center Inc

  • Clinic/Center
  • Miami, FL
  • NPI 1083042493
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1356519110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST STE 18",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742947",
            "telephone_number": "305-266-0600",
            "fax_number": "305-266-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 SW 8TH ST STE 18",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331742947",
            "telephone_number": "305-266-0600",
            "fax_number": "305-266-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATUS",
        "first_name": "JORGE",
        "credential": "PAC PHYSICIAN ASSIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-14",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014543800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dakota Chance Mattison
• David Mattos, MD, MBA
• James Joshua Mattson, PHARMD
• Donna Maturo, ARNP
• George Matus, MD, MPH, MBA
• Rosanna Matus
• Luskarina Matute Sanchez
• Mariadela Matute, ARNP-BC
• Miguel Morejon Matute
• Kim L Matwiejow, M.S., R.D., LD/N

• Physician Assistant in Miami, FL
• Providers in Miami, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.