Organization Active NPI

Dr. Mattei I. M. Care, PSC

  • Specialist
  • San Juan, PR
National Provider Identifier
1760683445
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11956 Issued in PR
Legal business name
DR. MATTEI I. M. CARE, PSC
Practice address
Calle M Pavia Edit Chinea 655
Ste 202
San Juan, PR 00909
Phone
(787) 728-2361
Fax
(787) 728-6852
NPI assigned
May 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. Jorge E Mattei Louis Jr., MD
Title
Presidente
Phone
(787) 728-2361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 11956 PR Primary

Addresses

Primary practice location

Calle M Pavia Edit Chinea 655
Ste 202
San Juan, PR 00909

Mailing address

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

Other names 1

  • H AUBREY FLEMING MATTEI Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160607000836 PR Part B Supplier - Clinic/Group Practice 8426348285 Receives reassigned benefits from 1 practitioner
Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1760683445",
    "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": "CALLE M PAVIA EDIT CHINEA 655",
            "address_2": "STE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-728-2361",
            "fax_number": "787-728-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MATTEI I. M. CARE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "MATTEI LOUIS",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-728-2361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "11956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H AUBREY FLEMING MATTEI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.