Individual
NATALIE NICOLE RIVERA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1755 W MACADA RD, BETHLEHEM, PA 18017-3520
(610) 936-9676
Mailing address
1755 W MACADA RD, BETHLEHEM, PA 18017-3520
(610) 984-1831
(610) 984-1831
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
12767
GA
2084P0800X
Psychiatry Physician
Primary
MD489472
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12767
GEORGIA TRAINING PERMIT
GA
Enumeration date
03/29/2021
Last updated
01/21/2026
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