Mylthia P Matos, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

601 Issued in PR

Practice address

Calle Antonio R Barcelo#8
Toa Alta, PR 00954

Phone

(787) 870-7575

NPI assigned

May 19, 2006

Sex

Female

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 PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Centro Visual Matos

  • Medical Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1902396179
  NPD (past) Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417900283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#3 GARDENIA BZ115 CAPE SEA VILLAGE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "787-379-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ANTONIO R BARCELO#8",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00954",
            "telephone_number": "787-870-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "MYLTHIA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "57770",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lilliam I Martinez
• Master Medic Emergency Service Inc
• Manuel Esteban Mateo Lopez Sr., 11772
• Ana M Mateo Morel, PA
• Lizmarie Matos, MSW
• MD Premier Health LLC
• Medical Emergency Group JRJ, C.S.P.
• Medical Express Logistics LLC
• Medical Prosthetic
• Medina 'S Nurse & Care LLC

• Optometrist in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.