Jose Raimundo Matos, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1987 Issued in PR

Practice address

Plaza P.R. Shopping Center Marginal Sein
KM. 16.1
Rio Piedras, PR 00926

Phone

(787) 756-6125

Fax

(787) 756-6125

NPI assigned

Jun 27, 2006

Sex

Male

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

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1457388100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70171",
            "address_2": "PMB60",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368171",
            "telephone_number": "787-756-6125",
            "fax_number": "787-756-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA P.R. SHOPPING CENTER MARGINAL SEIN",
            "address_2": "KM. 16.1",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-756-6125",
            "fax_number": "787-756-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "JOSE",
        "middle_name": "RAIMUNDO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awilda J Marrero Mas, MD
• Diana P Martinez, M.D.
• Melvin Miguel Martinez, PSY. D.
• Roberto Martinez, R.N.
• Taina L. Matos Suarez, MSW
• Medic Home Infusions
• Medical Office of Dr Jorge Crespo Carrillo PSC
• Medical Psychiatric Center,Inc.
• Medical Psychiatric Group,CSP
• Mediccar

• General Practice Dentistry in Rio Piedras, PR
• Providers in Rio Piedras, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.