Individual
JOSE GREGORIO MATOS URENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4541
(318) 966-4543
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-4541
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
333590
LA
208M00000X
Hospitalist Physician
Primary
333590
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2019
Last updated
02/21/2023
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