NPIMap

Organization Active NPI

Matmed LLC

  • Pain Medicine (Anesthesiology) Physician
  • Plantation, FL
National Provider Identifier
1831874775
Registry record updated Sep 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
MATMED LLC
Practice address
300 NW 70TH Ave Ste 102
Plantation, FL 33317-2360
Phone
(786) 808-8555
Fax
(786) 360-1100
NPI assigned
Jun 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2023

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

Authorized official

Name
Miguel Angel Telleria, MDNPI 1467614636
Title
Physician/Owner
Phone
(786) 808-8555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

300 NW 70TH Ave Ste 102
Plantation, FL 33317-2360

Mailing address

9066 SW 73Rd CT PH 2404
Miami, FL 33156-2972
Phone (786) 808-8555

Other names 1

  • Miami Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Matmed LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 NW 70th Ave
Ste 102
Plantation, FL 33317
Phone (786) 808-8555

Practitioners & affiliated clinicians

Practitioners 9

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": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694822400000",
    "number": "1831874775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9066 SW 73RD CT PH 2404",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562972",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE STE 102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172360",
            "telephone_number": "786-808-8555",
            "fax_number": "786-360-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-09-16",
        "certification_date": "2023-09-16",
        "status": "A",
        "authorized_official_last_name": "TELLERIA",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "786-808-8555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miami Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.