Individual
DR. MIGUEL MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MBA, MHA, MS
Contact information
Practice address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Mailing address
3 RIVERSIDE CIR, ROANOKE, VA 24016-4955
(540) 224-5170
(540) 983-8212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2867
WV
2086S0127X
Trauma Surgery Physician
Primary
0102205056
VA
208D00000X
General Practice Physician
OT012535
PA
Other
Enumeration date
12/04/2008
Last updated
08/11/2021
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