Jomayra Matos, M.S PHL

Individual provider Active NPI Speech-Language Pathologist · Penuelas, PR

NPI 1942544747 · NPPES record last updated Nov 16, 2012

Key facts

NPI
1942544747
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1018 (PR)
Practice address
546 Com Caracoles 2
Penuelas, PR 00624
Phone
(787) 379-3865
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1018 PR Yes

Addresses

Primary practice location

546 Com Caracoles 2
Penuelas, PR 00624

Mailing address

546 Com Caracoles 2
Penuelas, PR 00624-2555
Phone (787) 379-3865

Other providers in Penuelas, PR

All providers in Penuelas, PR · Speech-Language Pathologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.