Provider Demographics
NPI:1013150895
Name:RODRIGUEZ MATOS, FRANCES MARY (MD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:MARY
Last Name:RODRIGUEZ MATOS
Suffix:
Gender:F
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:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624-0966
Mailing Address - Country:US
Mailing Address - Phone:787-836-1649
Mailing Address - Fax:787-836-3403
Practice Address - Street 1:OFICINA MEDICA WILLIAMS, STREET LUIS MUNOZ RIVERA 404
Practice Address - Street 2:
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624-2015
Practice Address - Country:US
Practice Address - Phone:787-836-1649
Practice Address - Fax:787-836-3403
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17514208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1013150895Medicaid