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Individual

DR. JOSE LUIS MATIAS SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
CALLE EDEN, X26 GLENVIEW GARDEN, PONCE, PR 00730
(787) 813-9094
Mailing address
CALLE EDEN, X26 GLENVIEW GARDEN, PONCE, PR 00730
(787) 813-9094

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
225
PR

Other

Enumeration date
12/17/2019
Last updated
12/17/2019
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