MEDICARE: DR. HIPOLITO D. 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	15242	PR

General Provider Information

NPI Number	:	1548452485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HIPOLITO D. MATOS MD

Provider Business Mailing Address
First Line	:	30 SOUTHRIDGE CIR
Second Line	:
City	:	WYNNE
State	:	AR
Zip	:	72396-8063
Country	:	US
Telephone Number	:	870-494-4200
Fax Number	:	870-494-4482

Provider Business Practice Location Address
First Line	:	1301 DALE BUMPERS DR
Second Line	:
City	:	FORREST CITY
State	:	AR
Zip	:	72335-2696
Country	:	US
Telephone Number	:	870-494-4200
Fax Number	:

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

Provider Enumeration Date	:	08/14/2007
Last Update Date	:	08/14/2007

Similar Medicare Providers

1326225806 — MEREDITH ANNE WILLIAMS M.D.
Practice Location Address:

1301 DALE BUMPERS DR
FORREST CITY, AR
72335-2696

Practice Phone: 870-630-6000
Practice Fax:

1306172127 — FEDERAL BUREAU OF PRISONS
Practice Location Address:

1301 DALE BUMPERS ROAD
FORREST CITY, AR
72335-2696

Practice Phone: 870-630-6000
Practice Fax: 870-494-4482

1528529369 — JUDITH NM LAMARRE
Practice Location Address:

1301 DALE BUMPERS DR
FORREST CITY, AR
72335-2696

Practice Phone: 870-630-6000
Practice Fax:

1316579030 — DR. MAXTON EDWARD THOMAN MD
Practice Location Address:

4000 CAMBRIDGE ST
KANSAS CITY, KS
66160-2696

Practice Phone: 913-588-1227
Practice Fax:

1740583814 — LINDSEY BUSSCHER
Practice Location Address:

2696 HERON CT
SAINT JAMES CITY, FL
33956-2169

Practice Phone: 239-283-9364
Practice Fax:

1891258984 — BEVERLY ANN COLEMAN RN
Practice Location Address:

2696 ALLEN SHORE DR
LENOIR CITY, TN
37772-4414

Practice Phone: 865-406-4507
Practice Fax:

Directions to “ DR. HIPOLITO D. MATOS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.