Organization Active NPI

Huber Matos MD PA

  • Pain Medicine (Anesthesiology) Physician
  • Jacksonville, FL
National Provider Identifier
1801197629
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME89412 Issued in FL
Legal business name
HUBER MATOS MD PA
Practice address
2570 Atlantic Blvd
Jacksonville, FL 32207-3604
Phone
(904) 607-7235
NPI assigned
Nov 10, 2010
Last updated
Dec 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Dr. Huber Matos-Garsault, M.D.NPI 1649217076
Title
President
Phone
(904) 607-7235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME89412 FL Primary

Addresses

Primary practice location

2570 Atlantic Blvd
Jacksonville, FL 32207-3604

Mailing address

3815 Harbor Dr
Jacksonville, FL 32207-2005
Phone (904) 607-7235

National Provider Directory

National Provider Directory

Locations

1001 Atlantic Ave
Fernandina Beach, FL 32034
Phone (904) 206-9354

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1801197629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 HARBOR DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072005",
            "telephone_number": "904-607-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073604",
            "telephone_number": "904-607-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBER MATOS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "MATOS-GARSAULT",
        "authorized_official_first_name": "HUBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-607-7235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME89412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.