Organization
MIRTA N. MATOS PSY.D P.A.
Active
Organization
MIRTA N. MATOS PSY.D P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRTA N MATOS PSY.D (OWNER)
(305) 599-1970
Entity
Organization
Contact information
Practice address
8249 NW 36TH ST, 102, DORAL, FL 33166-6673
(305) 599-1970
(305) 599-1971
Mailing address
8249 NW 36TH ST, 102, DORAL, FL 33166-6673
(305) 599-1970
(305) 599-1971
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
PY6454
FL
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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