Provider Demographics
NPI:1356152888
Name:MATOS, GABRIEL A (DC)
Entity type:Individual
Prefix:DR
First Name:GABRIEL
Middle Name:A
Last Name:MATOS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 AUTO PARK DR STE A
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-3536
Mailing Address - Country:US
Mailing Address - Phone:336-270-3116
Mailing Address - Fax:
Practice Address - Street 1:133 AUTO PARK DR STE A
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-3536
Practice Address - Country:US
Practice Address - Phone:336-270-3116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5816111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor