Alexander Matos

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ponce, PR

NPI 1659948958 · NPPES record last updated Jun 7, 2021

Key facts

NPI
1659948958
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
388 Zona Ind Reparada 2
Ponce, PR 00716-2347
Phone
(787) 840-2575
NPI assigned
Jun 7, 2021
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

388 Zona Ind Reparada 2
Ponce, PR 00716-2347

Mailing address

PO Box 7004
Ponce, PR 00732-7004

Other providers in Ponce, PR

All providers in Ponce, PR · Student in an Organized Health Care Education/Training Program in Puerto Rico

Sources for this page

Verify at the official NPI Registry.