Marylin Matos

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ponce, PR

NPI 1992005383 · NPPES record last updated Nov 1, 2010

Key facts

NPI
1992005383
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
Bo Machuelo Terrenos Hospital San Lucas II Final
Ponce, PR 00731
Phone
(787) 840-6630
Fax
(787) 844-4130
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

Bo Machuelo Terrenos Hospital San Lucas II Final
Ponce, PR 00731

Mailing address

PO Box 877
Coamo, PR 00769-0877
Phone (787) 803-2807

Other providers in Ponce, PR

All providers in Ponce, PR · Addiction (Substance Use Disorder) Counselor in Puerto Rico

Sources for this page

Verify at the official NPI Registry.