Eduardo Matos Postigo Sr., MD LICENSE 11827
Individual provider Active NPI General Practice Physician · Ponce, PR
NPI 1629274162 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629274162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 11827 (PR)
- Practice address
- Ave Santiago de Los Caballeros
Ponce, PR 00733 - Phone
- (787) 848-4545
- Fax
- (787) 259-8659
- NPI assigned
- Jun 22, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11827 | PR | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 11827 | PR | Yes |
Addresses
Primary practice location
Ave Santiago de Los Caballeros
Ponce, PR 00733
Mailing address
4317 Justo Martinez St
Urb Perla del Sur
Ponce, PR 00717-0321
Phone (787) 841-0901
Other providers in Ponce, PR
- Jose Luis Matias Sr.
- Kalil Mireily Matias
- Waldemar Matias
- Jorge R Matos Figueroa
- Gabriela N Matos Ortiz
- Stephanie Matos Quintana
- Jelisse Matos Renta
- Jacob Christopher Matos-Castro
- Alexander Matos
- Barbara Matos
All providers in Ponce, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.