Individual
CRISTINA B MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3801 BISCAYNE BLVD, STE 230, MIAMI, FL 33137-9800
(786) 466-8490
Mailing address
1500 NW 12TH AVE, SUITE 810, MIAMI, FL 33136-1051
(305) 585-6649
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME51321
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055816800
—
FL
Enumeration date
08/08/2006
Last updated
10/01/2014
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