Ruth Esther Matos, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15913 Issued in PR

Practice address

319 South Dillard Street
Miracle Health Center
Winter Garden, FL 34787

Phone

(407) 574-6969

Fax

(407) 574-7076

NPI assigned

Feb 7, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Centro Integral de Medicina

  • Primary Care Clinic/Center
  • Fajardo, PR
  • NPI 1194936203
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1669445136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 CITRUS COVE DRIVE",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-271-9805",
            "fax_number": "787-885-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SOUTH DILLARD STREET",
            "address_2": "MIRACLE HEALTH CENTER",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-574-6969",
            "fax_number": "407-574-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "RUTH",
        "middle_name": "ESTHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-07",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH",
            "identifier": "2011471",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERED HEALTH",
            "identifier": "2011471",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makayla Maelyn Massey
• Stefania Massi, RMHCI
• Katrina N Mastrola
• Courtney Racquel Mathis, MSN, ARNP, WHNP-BC
• Roderick Mathis
• Victor W Matthews, M.D.
• Maureen Sawh, OD, PLC
• Lovell Leonard Mayle, MD
• Mischelle Ann Mbonu
• Patricia MC Cormick, PT

• General Practice Physician in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.