MEDICARE: CESAR A MATOS-MARTINEZ 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	2084P0800X	Psychiatry Physician	J3549	TX

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	:	1639240575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CESAR A MATOS-MARTINEZ MD

Provider Business Mailing Address
First Line	:	2110 W TRENTON RD STE A
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-4674
Country	:	US
Telephone Number	:	956-289-8200
Fax Number	:	956-289-8218

Provider Business Practice Location Address
First Line	:	2110 W TRENTON RD STE A
Second Line	:
City	:	EDINBURG
State	:	TX
Zip	:	78539-4683
Country	:	US
Telephone Number	:	956-289-8200
Fax Number	:	956-289-8218

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	09/12/2023

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