Provider Demographics
NPI:1770336505
Name:MATAMOROS, ALONDRA (DOULA)
Entity type:Individual
Prefix:
First Name:ALONDRA
Middle Name:
Last Name:MATAMOROS
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8612 ATLANTIC AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-1339
Mailing Address - Country:US
Mailing Address - Phone:347-331-9879
Mailing Address - Fax:
Practice Address - Street 1:8612 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-1339
Practice Address - Country:US
Practice Address - Phone:347-331-9879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula