Active NPI
Juan Matias, MD
- Psychiatry Physician
- Lares, PR
National Provider Identifier
1386971349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 17557
- Practice address
- Carr 111 KM 1.9
Lares, PR 00669 - Phone
- (787) 453-2478
- Fax
- (787) 897-2727
- NPI assigned
- Nov 12, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 17557 | PR | Primary |
Addresses
Primary practice location
Carr 111 KM 1.9
Lares, PR 00669
Mailing address
PO Box 379
Lares, PR 00669-0379
Phone (787) 897-2727
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220929001135 | PR | Practitioner - Psychiatry | 1052797917 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centro de Salud de Lares Inc
Practice addresses (Care Compare)
PO Box
Suite 379
Lares, PR 00669-0379
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17557 | PR | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud de Lares, Inc. | Current | Accepting new patients | |
| Centro de Salud de Lares, Inc | Current | Accepting new patients | |
| Centro de Salud de Lares, Inc | Current | Accepting new patients |
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Quebradillas, PR
- NPI 1235179532
PR
-
- Clinical Medical Laboratory
- Quebradillas, PR
- NPI 1639326937
-
- Clinical Medical Laboratory
- Lares, PR
- NPI 1750589982
-
- Community/Retail Pharmacy
- Lares, PR
- NPI 1093544132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1386971349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 379",
"city": "LARES",
"state": "PR",
"postal_code": "006690379",
"telephone_number": "787-897-2727",
"fax_number": "787-897-2727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 111 KM 1.9",
"city": "LARES",
"state": "PR",
"postal_code": "00669",
"telephone_number": "787-453-2478",
"fax_number": "787-897-2727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAS",
"first_name": "JUAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-12",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "17557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lares, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.