Victor L Matias, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

13623 Issued in FL

Practice address

15485 Eagle Nest LN Ste 210
Miami Lakes, FL 33014-2222

Phone

(786) 456-4941

Fax

(786) 456-4942

NPI assigned

Nov 16, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Golden Lakes Medical Center, Inc

  • Physical Therapy Clinic/Center
  • Miami Lakes, FL
  • NPI 1992288427
  NPD (past)

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1891451563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15485 EAGLE NEST LN STE 210",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15485 EAGLE NEST LN STE 210",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142222",
            "telephone_number": "786-456-4941",
            "fax_number": "786-456-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATIAS",
        "first_name": "VICTOR",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "FL",
            "license": "13623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Ulpiano Mas Ibanez
• Christopher Michael Massaro, OTR/L
• Masvida Health Care Solutions, LLC
• Orlando Antonio Matas-Sosa III, PHARMD
• Shelby Matech
• Matmed LLC
• Yenisley Matos Chirino, APRN
• Dayanis Beatriz Matos Tur, ARNP
• Bianca Skyye Matthews
• Garrett Matthews

• Rehabilitation Chiropractor in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Rehabilitation Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.