Magaly Matanzo Cortes, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13127 Issued in PR

Practice address

1503 Ave Ashford
Cond. Las Olas Apto 2B
San Juan, PR 00911-1134

Phone

(787) 593-8760

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Physician H.M.O. Inc.

  • Intermediate Emergency Medical Technician
  • San Juan, PR
  • NPI 1730481649
  NPD
• Vega Alta Community Health

  • Clinical Medical Laboratory
  • Vega Alta, PR
  • NPI 1952338154
  NPD (past)
• Healthflo Medical Clinics Inc

  • Rural Health Clinic/Center
  • Ridge Manor, FL
  • NPI 1164568275
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1831248889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190907",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190907",
            "telephone_number": "787-593-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 AVE ASHFORD",
            "address_2": "COND. LAS OLAS APTO 2B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111134",
            "telephone_number": "787-593-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATANZO CORTES",
        "first_name": "MAGALY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilmaris Masa, SOCIAL WORK
• Carmen Lydia Massanet, M.D.
• Nicole Massanet, MD
• Rebecca Masso, SLP
• Ali Mastali, M.D.
• Fanny Charlayne Mateo Perez
• Jonathan Xavier Mateo Santiago, PSYD
• Enid M Mateo-Reyes, M.D.
• Amada Argentina Mateo, BSN
• Lourdes Yamilka Mateo

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.