Gamaliel G Mattos


Address: 4001 Nw 97th Ave, Suite 101, Miami, FL 33178-2384
Phone: 3054367988

Gamaliel G Mattos (NPI# 1265481618, PAC ID# 9234150756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1265481618
PAC ID by PECOS 9234150756
Professional Enrollment ID I20051213000277
Full Name Gamaliel G Mattos
Address 4001 Nw 97th Ave
Suite 101
Miami
FL 33178-2384
Phone Number 3054367988
Gender M
Credential MD
Graduation Year 1970
Primary Specialty GENERAL PRACTICE
Secondary Specialties GENERAL SURGERY, VASCULAR SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100284 WESTCHESTER GENERAL HOSPITAL
100125 HOMESTEAD HOSPITAL
100181 LARKIN COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
4001 Nw 97th Ave, Suite 101, Miami, FL 33178-2384 3054367988

Organization Information

Office Location

Street Address 4001 NW 97TH AVE
SUITE 101
City MIAMI
State FL
Zip 33178-2384

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Competitor

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City MIAMI
Zip Code 33178
Specialty GENERAL PRACTICE
City + Specialty MIAMI + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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