MEDICARE: DR. ALBERT MATOS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	13389	PR
2	208D00000X	General Practice Physician	ACN1252	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053354738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT MATOS MD

Provider Business Mailing Address
First Line	:	3223 PARK GREEN DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33611-4602
Country	:	US
Telephone Number	:	813-480-2064
Fax Number	:	727-289-8491

Provider Business Practice Location Address
First Line	:	5800 49TH ST N STE S-207
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33709-2146
Country	:	US
Telephone Number	:	727-954-7642
Fax Number	:	727-289-8491

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	08/28/2025

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Directions to “ DR. ALBERT MATOS MD” Practice Location

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