MEDICARE: MRS. LAURA IVETTE GALINDEZ 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	207RC0000X	Cardiovascular Disease Physician	11380	PR

General Provider Information

NPI Number	:	1306977186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAURA IVETTE GALINDEZ MATOS MD

Provider Business Mailing Address
First Line	:	89 AVE DE DIEGO
Second Line	:	PMB 700 SUITE 105
City	:	SAN JUAN
State	:	PR
Zip	:	00927-6372
Country	:	US
Telephone Number	:	787-707-7854
Fax Number	:	787-706-7513

Provider Business Practice Location Address
First Line	:	LA RIVIERA
Second Line	:	1285 CALLE 54 SE
City	:	SAN JUAN
State	:	PR
Zip	:	00921-0000
Country	:	US
Telephone Number	:	787-707-7854
Fax Number	:	787-706-7513

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

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	01/12/2023

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