Sergio Matos, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

13766 Issued in PR

Practice address

Calle 1 ,Lote 18, Suite 400 ,Metro Office Park
Suite 400
Guaynabo, PR 00968

Phone

(787) 365-6286

Fax

(787) 774-0549

NPI assigned

Sep 28, 2007

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

Medicare fee-for-service enrollment

Enrolled in PR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Hospital General de Castaner Inc

  • General Acute Care Hospital
  • Castaner, PR
  • NPI 1760486344
  Medicare reassignment NPD
• Hospital General de Castaner Inc.

  • Federally Qualified Health Center (FQHC)
  • Jayuya, PR
  • NPI 1073040689
  NPD

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1871780346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 1 ,LOTE 18, SUITE 400 ,METRO OFFICE PARK",
            "address_2": "SUITE 400",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-365-6286",
            "fax_number": "787-774-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 1 ,LOTE 18, SUITE 400 ,METRO OFFICE PARK",
            "address_2": "SUITE 400",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-365-6286",
            "fax_number": "787-774-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS",
        "first_name": "SERGIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "13766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angeliris Matos Lasanta
• Jose Antonio Matos Negron, MD
• Jose E Matos Perez, 0813P
• Joel Alexis Matos-Matos
• Carmen Elena Matos
• Jose A Matta Figueroa, 1880P
• MB Dermatology, PSC
• MBF Corp
• Mbra, LLC
• MCG and the Able Child Inc

• Psychiatry Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.