Anneris Matias

Primary specialty

DentistTaxonomy code 122300000X

License

3261 Issued in PR

Practice address

Carr. 167 KM 17.8 Bo. Pajaros Puertorriquenos
Bayamon, PR 00961

Phone

(787) 780-3435

NPI assigned

Mar 30, 2017

Sex

Female

Sole proprietor

Yes

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

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

Credentials

Doctor of Medicine

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.

• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Naranjito, PR
  • NPI 1578586244
  Medicare reassignment NPD
• Salud Integral En la Montana, Inc

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1740772102

  General Practice

  NPD
• Salud Integral En la Montana, Inc.

  • Clinic/Center
  • Dorado, PR
  • NPI 1760371868
  NPD

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1497287486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB EL DORADO A6 CALLE E",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 167 KM 17.8 BO. PAJAROS PUERTORRIQUENOS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-780-3435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "dr guillermo jose arbona bldg medical center complex",
            "address_2": "School of dental medicine",
            "address_purpose": "LOCATION",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00936",
            "country_code": "US",
            "telephone_number": "787-758-2525 x2248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "ANNERIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Master Medical Supply Inc
• Amalia Ines Mateo, PT
• Maternidad Y Clinica Ginecologica
• Elba R Mathew
• Pedro F. Matias Valladares, M.D.
• Rosalee Matias, PT
• Magda Matos Caliz, OD
• Madeline Maria Matos Pimentel, MD
• Milton Luis Matos Roman, D.M.D.
• Luis Matos Villegas

• Dentist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.