GAMALIEL G. MATTOS, MD (NPI# 1568835627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568835627 |
| Entity Type | Organization |
| Organization Name | GAMALIEL G. MATTOS, MD |
| Other Organization Name | COMMUNITY PHYSICIAN ASSOCIATES |
| Practice Address |
4001 Nw 97th Ave Suite 101 Doral FL 33178-2384 |
| Practice Telephone | 3054182233 |
| Practice Fax Number | 3054182295 |
| Mailing Telephone | 3054182233 |
| Mailing Fax Number | 3054182295 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |
| Authorized Official Name | DR. GAMALIEL G MATTOS (PHYSICIAN) |
| Authorized Official Telephone | 3054182233 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME92002 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 2778876400 | 05 |
| Other Name | Type Code |
|---|---|
| Community Physician Associates | Doing Business As Name - Organization |
| Street Address |
4001 NW 97TH AVE SUITE 101 |
| City | DORAL |
| State | FL |
| Zip Code | 33178-2384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265481618 | Gamaliel G Mattos | Family Medicine | 4001 Nw 97th Ave, Suite101, Doral, FL 33178-2384 | 2006-05-10 |
| 1659483964 | Lucent Medical Services | Durable Medical Equipment & Medical Supplies | 4001 Nw 97th Ave, 301 G, Doral, FL 33178-2384 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571801 | The Velis Brothers Dental Team | Dentist | 10449 Nw 41 St., Doral, FL 33178 | 2020-09-03 |
| 1316598188 | Marli Catturini Echegoyen | Behavior Technician | 8652 Nw 112th Ct, Doral, FL 33178 | 2019-09-24 |
| 1700343043 | Matilde Lidia Lewis | Registered Nurse | 9915 Nw 41 St, Suite 230, Doral, FL 33178 | 2019-02-22 |
| 1700366622 | Polyclinic Healthcare Corp | Family Medicine | 10800 Nw 58th St, Doral, FL 33178 | 2018-08-20 |
| 1689022691 | Zeida M Prendes-guerra | Behavioral Analyst | 5620 Nw 107th Ave Apt 1512, Doral, FL 33178 | 2016-05-31 |
| 1437519014 | Isel Gonzalez | Nurse Practitioner | 11573 Nw 69 Terr, Doral, FL 33178 | 2016-02-25 |
| 1114335189 | Mia Mccarthy | Student in an Organized Health Care Education/Training Program | 10045 Nw 46th St, Doral, FL 33178 | 2014-07-23 |
| 1043641269 | Ultimate Performance Fitness Consultants Pl | Clinic/Center | 9831 Nw 58th St #130, Doral, FL 33178 | 2013-12-13 |
| 1871924845 | Silvana Newman | Behavioral Analyst | 8249 Nw 36th Street Suite 206, Miami, FL 33178 | 2013-12-02 |
| 1154755478 | Dina Garabedian | Physician Assistant | 7952 Nw 114th Ct, Miami, FL 33178 | 2013-08-22 |
| Find all providers in zip 33178 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092759 | Gold Coast Physician Group Inc. | General Practice | 8181 Nw 36th St Ste 14e, Doral, FL 33166-6646 | 2020-01-14 |
| 1194105726 | Medical Policlinic Inc | General Practice | 9300 Nw 25th St Ste 106, Doral, FL 33172-1506 | 2015-06-09 |
| 1316325152 | Universal Medical & Therapy Inc | General Practice | 3900 Nw 79th Ave Ste 476a, Doral, FL 33166-6556 | 2015-05-13 |
| 1295163574 | Peoples Rehab Team Inc | General Practice | 1414 Nw 107th Ave Ste 210, Doral, FL 33172-2741 | 2013-10-23 |
| 1578832085 | Ines G Azcoitia | General Practice | 4878 Nw 108 Court, Doral, FL 33178-4331 | 2011-12-29 |
| 1649469958 | Atlantic Medical Specialty, Inc | General Practice | 8009 Nw 36 Street, Suite 234, Doral, FL 33166 | 2007-10-23 |
| 1033304787 | Airport Medical Solutions, Inc. | General Practice | 2404 Nw 87th Pl, Doral, FL 33172-1201 | 2007-09-06 |
| 1265633994 | Giovanna A Baldarrago | General Practice | 2000 Nw 87th Ave Ste 101, Doral, FL 33172-2655 | 2007-05-30 |
| 1417163791 | Alicia Rivera Mirabal | General Practice | 10200 Nw 25th St Ste 114, Doral, FL 33172-5919 | 2007-05-15 |
| 1265562524 | Mark William Bloom | General Practice | 4550 Nw 102nd Pl, Doral, FL 33178-2276 | 2007-03-06 |
| Find all providers in DORAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.