Eduardo Matos Postigo Sr., MD LICENSE 11827

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11827 Issued in PR

Practice address

Ave Santiago de Los Caballeros
Ponce, PR 00733

Phone

(787) 848-4545

Fax

(787) 259-8659

NPI assigned

Jun 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629274162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 JUSTO MARTINEZ ST",
            "address_2": "URB PERLA DEL SUR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170321",
            "telephone_number": "787-841-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE SANTIAGO DE LOS CABALLEROS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00733",
            "telephone_number": "787-848-4545",
            "fax_number": "787-259-8659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS POSTIGO",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD LICENSE 11827",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Luis Matias Sr., PA
• Kalil Mireily Matias
• Waldemar Matias, PA
• Jorge R Matos Figueroa, M.D.
• Gabriela N Matos Ortiz
• Stephanie Matos Quintana
• Jelisse Matos Renta, PSY.D
• Jacob Christopher Matos-Castro, PSYD
• Alexander Matos
• Barbara Matos, OTL

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.