Individual provider Active NPI

Daniel Eduardo Matienzo

  • Surgery Physician
  • Delray Beach, FL
National Provider Identifier
1679102131
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME157862 Issued in FL
Practice address
4801 Linton Blvd
Delray Beach, FL 33445-6503
Phone
(561) 708-4488
NPI assigned
Apr 6, 2020
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME157862 FL Primary

Addresses

Primary practice location

4801 Linton Blvd
Delray Beach, FL 33445-6503

Mailing address

4801 Linton Blvd Ste 10a
Delray Beach, FL 33445-6501
Phone (307) 286-3210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250610003806 MI Order and Referring Only - General SurgeryPractitioner - General Surgery 9032531421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1679102131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 LINTON BLVD STE 10A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456501",
            "telephone_number": "307-286-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 LINTON BLVD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456503",
            "telephone_number": "561-708-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIENZO",
        "first_name": "DANIEL",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME157862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.