Yatzmeli Matias

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7019 Issued in PR

Practice address

Calle Brumbaugh #1162
Urb. Garcia Ubarri
San Juan, PR 00925

Phone

(787) 753-9437

NPI assigned

Jun 20, 2019

Last updated

Aug 31, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Puerto Rico Community for Clinical Services, Research and Health

  dba PR CoNCRA

  • Multi-Specialty Clinic/Center
  • Rio Piedras, PR
  • NPI 1396776472
  NPD (past)

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1669032785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 02 BUZON 3390",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-672-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE BRUMBAUGH #1162",
            "address_2": "URB. GARCIA UBARRI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00925",
            "telephone_number": "787-753-9437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "388 Zona Industrial Reparada 2",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "00716",
            "country_code": "US",
            "telephone_number": "787-840-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "YATZMELI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-20",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7019",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maternal Fetal Medicine & Ginecology Center (pcs)
• Kianeysha Matias Nieves
• Ayra Matias, MS OTL
• Jose R Matias
• Tania Marie Matias, M.D.
• Jeysla Marie Matos Chaparro, MD
• Elizardo Matos Cruz, M.D.
• Ideliz Matos Cruz, M.A
• Roberto Carlos Matos Figueroa
• Amidcar Jose Matos Irizarry, PSYD

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.