Jose R Matta, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME004077 Issued in FL

Practice address

513 Manatee Ave E
Bradenton, FL 34208-1145

Phone

(941) 745-1616

Fax

(941) 748-1897

NPI assigned

Dec 29, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1508922840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081145",
            "telephone_number": "941-745-1616",
            "fax_number": "941-748-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MANATEE AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081145",
            "telephone_number": "941-745-1616",
            "fax_number": "941-748-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTA",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME004077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santhosh J Mathews, MD
• William Robert Mathews, D.D.S.
• Keerthika Mathialagan, MD
• Matrix Pulmonary, P.a.
• Karen Matta-Toomey, M.D.
• Alex Matthaeus
• Peter J Mattina, MD
• Charles William Mattis, DDS
• Mary Louise Mattison, APRN
• Zachary Matunas, PHARMD

• Specialist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.