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General NPI Number Information
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NPI Number | 1992048763
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Entity Type | Individual
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Provider Name | MIGUEL A LAFORET-MATOS MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2013
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 2033 MAIN ST
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City | ATHOL
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State | MA
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Zip | 01331-3535
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Country | US
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Telephone | 978-249-1295
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Fax |
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Provider Business Mailing Address
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Address Line | 3 LIBERTY CIR
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City | NORTH GRAFTON
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State | MA
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Zip | 01536-2228
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Country | US
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Telephone | 774-531-5280
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 18721
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 29343R
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 28864R
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18721
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 1025254
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License Number State | MA
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