Gamaliel G. Mattos, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME92002 Issued in FL

Legal business name

GAMALIEL G. MATTOS, MD

Doing business as

Community Physician Associates

Practice address

4001 NW 97TH Ave
Suite 101
Doral, FL 33178-2384

Phone

(305) 418-2233

Fax

(305) 418-2295

NPI assigned

Nov 10, 2015

Last updated

Nov 10, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gamaliel G Mattos, MDNPI 1265481618

Title

Physician

Phone

(305) 418-2233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Community Physician Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gamaliel G Mattos, MD

  • Family Medicine Physician
  • Doral, FL
  • NPI 1265481618
  NPD (past) Authorized official

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447113600000",
    "number": "1568835627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 NW 97TH AVE",
            "address_2": "SUITE 101",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782384",
            "telephone_number": "305-418-2233",
            "fax_number": "305-418-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 NW 97TH AVE",
            "address_2": "SUITE 101",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782384",
            "telephone_number": "305-418-2233",
            "fax_number": "305-418-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMALIEL G. MATTOS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-10",
        "last_updated": "2015-11-10",
        "status": "A",
        "authorized_official_last_name": "MATTOS",
        "authorized_official_first_name": "GAMALIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-418-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME92002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2778876400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Physician Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amber Galvez
• Hector Galvez
• Nataly Galvez
• Rolando Galvez
• Yuleima Galvis Carrascal
• Glendys Gamazo
• Jannet E Gamboa, DDS
• Nathalie Game
• Yaneidis Josefina Gamez Colmenares, FNP-C
• Gamma Diagnostic Lab LLC

• General Practice Physician in Doral, FL
• Providers in Doral, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.