MIGUEL MATEOS-MORA (NPI# 1992790851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992790851 |
| Entity Type | Individual |
| Full Name | MIGUEL MATEOS-MORA |
| Credential | M.D., |
| Practice Address |
445 Pineda Ct Melbourne FL 32940-7536 |
| Mailing Address |
6700 Still Point Dr Melbourne FL 32940-2033 |
| Practice Telephone | 3212541611 |
| Practice Fax Number | 3212543166 |
| Mailing Telephone | 3212541611 |
| Mailing Fax Number | 3212543166 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2011-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
ME50407 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 061083600 | 05 |
| Street Address |
445 PINEDA CT |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700412814 | Partners In Community Care, LLC | Clinic/Center | 445 Pineda Ct, Melbourne, FL 32940-7555 | 2020-03-20 |
| 1487731931 | Sunshine Pediatrics of Brevard | Pediatrics | 445 Pineda Ct, Melbourne, FL 32940-7555 | 2006-11-01 |
| 1780785121 | Yolanda Mantecon Mateos | Pediatrics | 445 Pineda Ct, Melbourne, FL 32940-7555 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992054589 | Natalia Alexeevna Shcherbinina | Internal Medicine | 1600 W. Eau Gallie Blvd. Suite 205a, Melbourne, FL 32935 | 2012-08-29 |
| 1003010679 | Summer Pal Singh Kahlon | Internal Medicine | 300 Michigan Avenue, Melbourne, FL 32901 | 2007-06-14 |
| 1528008190 | Zaw Htay | Internal Medicine | 1301 W Eau Gallie Blvd Ste 108, Melbourne, FL 32935-5390 | 2006-06-08 |
| 1467445031 | Anthony J. Barile | Internal Medicine | 205 E Nasa Blvd, Suite 200, Melbourne, FL 32901 | 2005-08-29 |
| 1053689810 | Medical Associates of Brevard LLC | Internal Medicine | 1301 W Eau Gallie Blvd Ste 108, Melbourne, FL 32935-5390 | 2011-12-08 |
| 1356570782 | Katie Fillion | Internal Medicine | 1495 N Harbor City Blvd, Melbourne, FL 32935-6572 | 2009-07-07 |
| 1639323041 | Srinivas Dontineni Md Pa | Internal Medicine | 2800 Aurora Rd Ste F, Melbourne, FL 32935-2015 | 2008-11-12 |
| 1679690093 | Ashraf A. M. Ahmed | Internal Medicine | 205 E Nasa Blvd Fl 2, Melbourne, FL 32901-1950 | 2007-03-22 |
| 1972674687 | Ana Marisol Conde-rosa | Internal Medicine | 1350 Hickory St, Melbourne, FL 32901-3224 | 2006-11-13 |
| 1811962855 | Vincenzo Scotto D'antuono | Internal Medicine | 205 E Nasa Blvd Fl 2, Melbourne, FL 32901-1950 | 2006-02-22 |
| Find all providers in MELBOURNE | ||||
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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.