Laura Mata Balderas, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9091 Issued in PR

Practice address

349 Ave Hostos
Medical Emporium II Suite A29
Mayaguez, PR 00680-1509

Phone

(787) 690-2157

Fax

(787) 833-3831

NPI assigned

Aug 23, 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

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.

• Advanced Wound Care Inc

  • Clinic/Center
  • San Sebastian, PR
  • NPI 1992970214
  NPD (past)
• MM Management Corp

  • Clinic/Center
  • Mayaguez, PR
  • NPI 1174625487
  NPD (past)
• MMCW Family Medical Center LLC

  • Family Medicine Physician
  • Mayaguez, PR
  • NPI 1649948654
  NPD (past)
• MMR Instituto de Medicina de Famillia del Oeste

  • Family Medicine Physician
  • San Sebastian, PR
  • NPI 1487801106
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1689781148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 472",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810472",
            "telephone_number": "787-690-2157",
            "fax_number": "787-833-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 AVE HOSTOS",
            "address_2": "MEDICAL EMPORIUM II SUITE A29",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801509",
            "telephone_number": "787-690-2157",
            "fax_number": "787-833-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA BALDERAS",
        "first_name": "LAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "9091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soleil M Martinez, M.S.
• Daniel Martir, DMD
• Roberto Martir, MD
• Priscilla Joanne Marty Irizarry, MSW
• Jaime Massa
• Indrid Janette Matias Padilla
• Felix Matias, AUDIOLOGIST
• Jenisse Marie Matias
• Marilu Matias
• Jonathan Matos Ferreira Sr., MSW

• Family Medicine Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.