DR. ERNESTO MATAMOROS (NPI# 1639121577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639121577 |
| Entity Type | Individual |
| Full Name | DR. ERNESTO MATAMOROS |
| Credential | MD |
| Practice Address |
1695 Sw 107th Ave Miami FL 33165-7344 |
| Mailing Address |
4179 W 9th Ct Hialeah FL 33012-7201 |
| Practice Telephone | 3052074443 |
| Practice Fax Number | 3052074442 |
| Mailing Telephone | 7862824916 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME38894 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FL MEDICAL LICENSE NO | ME38894 | 01 |
| FL | BC BS OF FL PROVIDER NO | 95778 | 01 |
| Street Address |
1695 SW 107TH AVE |
| City | MIAMI |
| State | FL |
| Zip Code | 33165-7344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043209786 | Ifa Medical Center Inc | General Practice | 1695 Sw 107th Ave, Suite 201, Miami, FL 33165-7344 | 2005-10-15 |
| 1194029181 | University Health Care Westchester Inc. | Family Medicine | 1695 Sw 107th Ave, Miami, FL 33165-7344 | 2011-01-05 |
| 1467762419 | Ciro Calderin | Physician Assistant | 1695 Sw 107th Ave, Miami, FL 33165-7344 | 2010-10-08 |
| 1083874275 | Ifa Medical Center Inc | Clinic/Center | 1695 Sw 107th Ave, Suite 201, Miami, FL 33165-7344 | 2008-06-11 |
| 1336161165 | Ifa Medical Center, Inc | Clinic/Center | 1695 Sw 107th Ave, Miami, FL 33165-7344 | 2006-07-24 |
| 1295767747 | University Health Care Center Group Inc | Clinic/Center | 1695 Sw 107th Ave, Miami, FL 33165-7344 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292159 | Rosalyn Viaros | Student in an Organized Health Care Education/Training Program | 5220 Sw 115th Ave., Miami, FL 33165 | 2020-10-09 |
| 1801401500 | Paradigm Kids Miami LLC | Behavioral Analyst | 11375 Sw 45th St, Miami, FL 33165 | 2020-09-10 |
| 1922643972 | Maritza Suarez | Behavior Technician | 1811 Sw 107th Ave Apt 2301, Miami, FL 33165 | 2019-11-14 |
| 1700439700 | 305 Medical Care Inc | Physical Medicine & Rehabilitation | 8900 Sw 24th, #209, Miami, FL 33165 | 2019-07-18 |
| 1124682299 | Picasso Dental Miami, Inc | General Practice | 9230 Sw 40th St Ste A, Miami, FL 33165 | 2019-04-24 |
| 1538723838 | Mihr Urgent Care Corp | Clinic/Center | 8900 Sw 24 St. Ste #200, Miami, FL 33165 | 2019-04-23 |
| 1942766670 | Daniel Luis Hernandez | Nurse Practitioner | 10250 Sw 56 St Suit D-103, Miami, FL 33165 | 2019-02-19 |
| 1124583695 | Meliza Mercedes Perea | Nurse Practitioner | 3850 Sw 87th Ave Ste 205, Miami, FL 33165 | 2019-02-08 |
| 1629551700 | Jorge L Hernandez | Nurse Practitioner | 8710 Sw 41 Terrace, Miami, FL 33165 | 2018-09-13 |
| 1245718857 | Cac Florida Medical Centers, LLC | Clinic/Center | 10453-55 Sw 40 Street, Miami, FL 33165 | 2018-08-06 |
| Find all providers in zip 33165 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| 1942815774 | Mocasa Wellness Center Inc | General Practice | 330 Sw 27th Ave Ste 506, Miami, FL 33135-2967 | 2020-09-09 |
| 1316550163 | Asela Infante Suarez | General Practice | 13450 Sw 97th Ct, Miami, FL 33176-6105 | 2020-08-30 |
| 1740890607 | Serenity Community Mental Healthcare, LLC | General Practice | 10300 Sw 72nd St Ste 250, Miami, FL 33173-3014 | 2020-08-05 |
| 1144841776 | Simplify Home Health Pllc | General Practice | 3301 Ne 1st Ave Apt 2906, Miami, FL 33137-4174 | 2020-05-05 |
| 1104447804 | Dr Jean Pierre LLC | General Practice | 5050 Biscayne Blvd, Miami, FL 33137-3203 | 2020-05-04 |
| 1891316105 | Jorge Luis Vega Morales | General Practice | 14760 Sw 66th St, Miami, FL 33193-2039 | 2020-04-28 |
| 1518587203 | Premium Healthcare Holdings, Lllp | General Practice | 2400 Sw 69th Ave, Miami, FL 33155-1706 | 2020-04-22 |
| 1770118416 | Guido A.perez, M.d., Inc. | General Practice | 701 Nw 57th Ave Ste 260, Miami, FL 33126-2083 | 2020-03-03 |
| Find all providers in MIAMI | ||||
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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.