Ian Marcos Matosdeaza, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS71293 Issued in FL

Practice address

18901 State Road 54
Lutz, FL 33558-5268

Phone

(813) 948-1275

NPI assigned

Aug 12, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ian Marcos Matos de Aza Defillo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1750206132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585268",
            "telephone_number": "813-948-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 STATE ROAD 54",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335585268",
            "telephone_number": "813-948-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOSDEAZA",
        "first_name": "IAN",
        "middle_name": "MARCOS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS71293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IAN",
            "last_name": "MATOS DE AZA DEFILLO",
            "middle_name": "MARCOS",
            "credential": "PHARMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Natasha Matallana, RBT
• Louis Dembrun Matherne IV, M.D.
• Aarti Mathur, PSYD
• Michael Joseph Matli, DO
• Mildred B Matos Cordero
• Matthew Acton DO PLLC (Action Medicine)
• Kathiria Michelle Maunez Mendoza, MSW
• Sandy Maurell Montero
• Richard Anthony Mauro, P.T.
• Curtis Mavor, LCSW

• Pharmacist in Lutz, FL
• Providers in Lutz, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; 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.