Provider Demographics
NPI:1932381100
Name:MATOS, MANUEL ARNALDO (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:ARNALDO
Last Name:MATOS
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:PO BOX 472
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-0472
Mailing Address - Country:US
Mailing Address - Phone:787-378-3911
Mailing Address - Fax:787-878-6601
Practice Address - Street 1:CALLE CEDRO # 34
Practice Address - Street 2:URB. VILLA LUCIA
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-378-3911
Practice Address - Fax:787-878-6601
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5410207L00000X, 207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology