Active NPIIndividual providerSole proprietor

Dr. Stephanie M De La Matta, OD

Optometrist in San German, Puerto Rico

NPI Number1083210462
Practice location
46 Avenida Universidad Interamericana, San German, PR 00683
Fax
—
Last updated
December 10, 2020

Stephanie Marie De La Matta is an Optometrist based in San German, PR. Stephanie Marie De La Matta practices in San German, PR and has the professional credentials of OD. The NPI Number for Stephanie Marie De La Matta is 1083210462 and holds a License No. 747 (PR). The current practice location address for Stephanie Marie De La Matta is 46 Avenida Universidad Interamericana, San German, PR 00683 and can be reached out via phone at 787-892-6016.

Provider Profile Details

NPI Number
1083210462
Provider Name
Stephanie Marie De La Matta
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
46 Avenida Universidad Interamericana, San German, PR 00683
Phone Number
787-892-6016
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 10, 2020
Last Update Date
December 10, 2020
Certification Date
December 7, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
46 Avenida Universidad Interamericana
San German, PR 00683
Zip
00683
Phone Number
787-892-6016
San German, PR 00683Get directions →

Provider Business Mailing Address Details

Address
46 Avenida Universidad Interamericana
San German, PR 00683
City
San German
State
PR
Zip
00683

License Information

License Number
747
License State
PR
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stephanie M De La Matta, OD?

The NPI number of Dr. Stephanie M De La Matta, OD is 1083210462. It was assigned on December 10, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Stephanie M De La Matta, OD?

Dr. Stephanie M De La Matta, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 747.

Where does Dr. Stephanie M De La Matta, OD practice?

The practice location is 46 Avenida Universidad Interamericana, San German, PR 00683. The office can be reached at 787-892-6016 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083210462 directly on the NPPES registry website.

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