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NPI Code Detail

MEDICARE: MARTA N MATOS PSYD PA

MEDICARE: MARTA N MATOS PSYD PA
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
1103TC0700XClinical PsychologistPY6307FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
154756OTHERFLBCBS

General Provider Information

NPI Number : 1679561146
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARTA N MATOS PSYD PA
Provider Business Mailing Address
First Line : 8525 SW 92ND ST
Second Line : #B-8
City : MIAMI
State : FL
Zip : 33156-7365
Country : US
Telephone Number : 305-598-8879
Fax Number : 305-598-0220
Provider Business Practice Location Address
First Line : 8525 SW 92ND ST
Second Line : #B-8
City : MIAMI
State : FL
Zip : 33156-7365
Country : US
Telephone Number : 305-598-8879
Fax Number : 305-598-0220
Authorized Official
Title or Position : OWNER
Name : MS. MARTA NILDA MATOS
Credential : PSYD
Telephone Number : 305-598-8879
Provider Enumeration Date : 10/10/2005
Last Update Date : 08/22/2020

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:
701 NW 27TH AVE
MIAMI, FL
33125-3012
Practice Phone: 786-744-1900
Practice Fax: 305-760-4141
1669460135 — MIRTA MATOS PSYD PA
Practice Location Address:
8525 SW 92ND ST , #B-8
MIAMI, FL
33156-7365
Practice Phone: 305-596-9989
Practice Fax: 305-598-0220
1689636391 — DR. JAVIER SOBRADO M.D.
Practice Location Address:
8525 SW 92ND ST , SUITE D-17
MIAMI, FL
33156-7365
Practice Phone: 305-270-0402
Practice Fax: 305-595-6179
1487692547 — DR. GILDA PRIETO MORENO PSYD
Practice Location Address:
8525 SW 92ND ST , SUITE A1
MIAMI, FL
33156-7365
Practice Phone: 305-630-2909
Practice Fax: 305-630-2908
1700954724 — DR. LILIANNE SOBRADO M D
Practice Location Address:
8525 SW 92ND ST , SUITE D-17
MIAMI, FL
33156-7365
Practice Phone: 305-270-0402
Practice Fax: 305-595-6179
1538222575 — MRS. AIMEE RAMOS-SANCHEZ P.A.
Practice Location Address:
8525 SW 92ND ST , SUITE C-10
MIAMI, FL
33156-7365
Practice Phone: 305-596-5286
Practice Fax: 305-596-5884

Directions to “MARTA N MATOS PSYD PA ” Practice Location

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