Active NPI
Tania Marie Matias, M.D.
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1629317425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19250
- Practice address
- Hospital Municipal de San Juan Centro Medico
Monacillos, Rio Piedras
San Juan, PR 00936 - Phone
- (787) 205-4464
- NPI assigned
- Feb 14, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19250 | PR | Primary |
Addresses
Primary practice location
Hospital Municipal de San Juan Centro Medico
Monacillos, Rio Piedras
San Juan, PR 00936
Mailing address
PO Box 763
Barranquitas, PR 00794-0763
Phone (787) 205-4464
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19250 | PR | MD | Pediatrics Physician |
Interoperability endpoints
- sjctmatias@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456272000000",
"number": "1629317425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 763",
"city": "BARRANQUITAS",
"state": "PR",
"postal_code": "007940763",
"telephone_number": "787-205-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOSPITAL MUNICIPAL DE SAN JUAN CENTRO MEDICO",
"address_2": "MONACILLOS, RIO PIEDRAS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-205-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATIAS",
"first_name": "TANIA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-14",
"last_updated": "2016-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "19250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.