Provider Demographics
NPI:1366477077
Name:MATOS, FRANCISCO A (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:A
Last Name:MATOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE. SEVERIANO CUEVAS #19
Mailing Address - Street 2:SUITE #2
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-0000
Mailing Address - Country:US
Mailing Address - Phone:787-891-7180
Mailing Address - Fax:
Practice Address - Street 1:AVE. PEDRO ALBIZU KM1.1
Practice Address - Street 2:SUITE #2
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-0000
Practice Address - Country:US
Practice Address - Phone:787-975-0336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7826207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD32352Medicare UPIN
PR29667Medicare ID - Type Unspecified