Active NPI
Alberth Matos Rodriguez
- General Practice Physician
- Guayama, PR
National Provider Identifier
1609477371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 024025
- Practice address
- PO Box 10018
Guayama, PR 00785-4018 - Phone
- (787) 864-4300
- NPI assigned
- Nov 8, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 024025 | PR | Primary |
Addresses
Primary practice location
PO Box 10018
Guayama, PR 00785-4018
Mailing address
PO Box 836
Guayama, PR 00785-0836
Phone (813) 464-1418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024025 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1609477371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 836",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007850836",
"telephone_number": "813-464-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 10018",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007854018",
"telephone_number": "787-864-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS RODRIGUEZ",
"first_name": "ALBERTH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-08",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "024025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guayama, PR
- Brenda L Martinez Fernandez
- Heriberto Martinez Lebron
- Elba Nidia Martinez Santana, PHARMACIST
- Julianna Ynaiz Martinez-Toro, MS, PHD
- Rosa Martinez, MD
- Rosangela Medellin Solivan
- Francisco Javier Medellinhuertas, M.D.
- Medical Doctors With Alternative Therapies, PSC
- Juan A Medina Ruiz Sr., MD
- Emmanuel Medina, 1666P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.