Provider Demographics
NPI:1922158310
Name:MATHEUS, FRANCISCO ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:ANTONIO
Last Name:MATHEUS
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 1:13018 GEORGIA AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5330
Mailing Address - Country:US
Mailing Address - Phone:301-942-7100
Mailing Address - Fax:301-933-2659
Practice Address - Street 1:13018 GEORGIA AVE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5330
Practice Address - Country:US
Practice Address - Phone:301-942-7100
Practice Address - Fax:301-933-2659
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD41460207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD348591900Medicaid
MD414982300Medicaid
DCG02716Medicare UPIN
MDE43089Medicare UPIN
722029Medicare ID - Type Unspecified