Provider Demographics
NPI:1295778991
Name:MATOS, FELIX V (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:FELIX
Middle Name:V
Last Name:MATOS
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 6751
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6751
Mailing Address - Country:US
Mailing Address - Phone:787-744-6255
Mailing Address - Fax:787-257-5420
Practice Address - Street 1:65TH INFANTRY ROAD, KM. 12.6
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-257-5314
Practice Address - Fax:787-257-5420
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR7710207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7710OtherMEDICAL LICENSE