Awilda A Franco-Matta, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13975 Issued in PR

Practice address

Ave Conquistador a-45
Urb Monte Brisas
Fajardo, PR 00738-0986

Phone

(787) 801-4854

Fax

(787) 801-4854

NPI assigned

Sep 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649362690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380986",
            "telephone_number": "787-642-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE CONQUISTADOR A-45",
            "address_2": "URB MONTE BRISAS",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380986",
            "telephone_number": "787-801-4854",
            "fax_number": "787-801-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCO-MATTA",
        "first_name": "AWILDA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agapito Fontanez Nieves, MD
• Nydia E Fontanez Reyes, MD
• Carlos Agapito Fontanez, M.D.
• Ivette Franceschi Nazario, M.D.
• Maria L Francis Rosario, PTA
• Juan G Fuentes-Arroyo, DMD
• Evarlene Fuentes, MSW
• Moreslee Rosa Fuentes, REGISTER NURSE
• Fundacion Educativa Concepcion Martin
• Daneliz Garcia Rosario

• General Practice Physician in Fajardo, PR
• Providers in Fajardo, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.