Individual
DR. BRENDA ENID MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 CASIA STREET, VACHS, SAN JUAN, PR 00921
(787) 641-7582
Mailing address
VIA ENRAMADA 40, ENTRERIOS, TRUJILLO ALTO, PR 00976-6165
(787) 760-1171
(787) 758-2355
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
12418
PR
2084P0804X
Child & Adolescent Psychiatry Physician
12418
PR
Other
Enumeration date
05/02/2007
Last updated
03/10/2017
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