Individual
LUIS A. MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 585-1288
(305) 243-8470
Mailing address
1611 NW 12TH AVE, BOX 016960 M851, MIAMI, FL 33136-1005
(305) 585-1288
(305) 243-8470
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
ME47009
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0498696-00
—
FL
Enumeration date
04/25/2006
Last updated
06/03/2008
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