Elga Enid Matos, PHARMACY TECHNICIAN

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

9680 Issued in PR

Practice address

819 Ave Roberto Sanchez Vilella
Urb. Country Club
San Juan, PR 00924-2568

Phone

(787) 762-3200

NPI assigned

Feb 8, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Lydia E. Matos Colon

  • Community/Retail Pharmacy
  • San Juan, PR
  • NPI 1588003420
  NPD (past)

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1427416239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 AVE ROBERTO SANCHEZ VILELLA",
            "address_2": "URB. COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242568",
            "telephone_number": "787-762-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 AVE ROBERTO SANCHEZ VILELLA",
            "address_2": "URB. COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242568",
            "telephone_number": "787-762-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "ELGA",
        "middle_name": "ENID",
        "credential": "PHARMACY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "PR",
            "license": "9680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla M Matos-Rodriguez, M.D.
• William Matos-Santiago, M.D.
• Beatriz Matos-Zapata, PH.D.
• Brenda Enid Matos, M.D.
• Carlos M Matos, O.D.
• Ernesto Luis Matos, PHARM.D.
• Fabiola Teresa Matos
• Jose G. Matos, M.D.
• Joyce Marie Matos
• Luz E Matos, CRNA

• Pharmacy Technician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pharmacy Technician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.