Active NPI
Bryan Matos
- Paramedic
- Carolina, PR
National Provider Identifier
1992122626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 2735
- Practice address
- HC 3 Box 12576
Carolina, PR 00987-9619 - Phone
- (939) 969-0242
- NPI assigned
- Mar 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 2735 | PR | Primary |
Addresses
Primary practice location
HC 3 Box 12576
Carolina, PR 00987-9619
Mailing address
HC 3 Box 12576
Carolina, PR 00987-9619
Phone (939) 969-0242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2735 | PR | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1992122626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 3 BOX 12576",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009879619",
"telephone_number": "939-969-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HC 3 BOX 12576",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009879619",
"telephone_number": "939-969-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS",
"first_name": "BRYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-19",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "PR",
"license": "2735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.