Individual
DR. JAPHET D MATOS NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
URB VALLE HERMOSO MARGARITA STE 41, HORMIGUEROS, PR 00660
(939) 240-3696
Mailing address
PO BOX 369, MAYAGUEZ, PR 00681-0369
(939) 240-3696
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
16095I
PR
208D00000X
General Practice Physician
Primary
23131
PR
363AM0700X
Medical Physician Assistant
0025
PR
Other
Enumeration date
12/28/2020
Last updated
03/10/2023
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