Individual provider Active NPI

Jorge E Mattei, MD

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1720046378
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11956 Issued in PR
Practice address
655 Calle Pavia
Ste 202
San Juan, PR 00909-2218
Phone
(787) 728-2361
Fax
(787) 728-6852
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11956 PR Primary

Addresses

Primary practice location

655 Calle Pavia
Ste 202
San Juan, PR 00909-2218

Mailing address

PO Box 19057
San Juan, PR 00910-1057
Phone (787) 728-2361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051025001117 PR Practitioner - Internal Medicine 6002833449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

655 Calle Pavia
Suite 202
San Juan, PR 00909-2269
Phone (787) 728-2361

Hospital & facility affiliations

  • Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11956PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mattei I. M. Care, PSC CurrentSince Mar 17, 2016 Accepting new patients
Metro Santurce, Inc. Past Accepting new patients

Locations

655 Calle Pavia
Santurce, PR 00909
Phone (787) 728-2361

655 Calle Pavia
Ste 202
Santurce, PR 00909
Phone (787) 728-2361

Interoperability endpoints

  • Direct secure messaging: jorge_mattei_louis@yourcarecommunity.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1720046378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19057",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009101057",
            "telephone_number": "787-728-2361",
            "fax_number": "787-728-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CALLE PAVIA",
            "address_2": "STE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092218",
            "telephone_number": "787-728-2361",
            "fax_number": "787-728-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTEI",
        "first_name": "JORGE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "11956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.