Active NPIIndividual providerSole proprietor

Xiomara I Matos, OD

Optometrist in Hatillo, Puerto Rico

NPI Number1376577916
Practice location
Carr. 2 Km 84.2, Bo. Carrizales, Hatillo, PR 00659
Fax
787-820-5409
Last updated
June 26, 2017

Xiomara Ivellisse Matos is an Optometrist based in Hatillo, PR. Xiomara Ivellisse Matos practices in Hatillo, PR and has the professional credentials of OD. The NPI Number for Xiomara Ivellisse Matos is 1376577916 and holds a License No. 579 (PR). The current practice location address for Xiomara Ivellisse Matos is Carr. 2 Km 84.2, Bo. Carrizales, Hatillo, PR 00659 and can be reached out via phone at 787-820-5378 and via fax at 787-820-5409.

Provider Profile Details

NPI Number
1376577916
Provider Name
Xiomara Ivellisse Matos
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
Carr. 2 Km 84.2, Bo. Carrizales, Hatillo, PR 00659
Phone Number
787-820-5378
Fax Number
787-820-5409
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 10, 2006
Last Update Date
June 26, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr. 2 Km 84.2
Bo. Carrizales
Hatillo, PR 00659
Zip
00659
Phone Number
787-820-5378
Fax Number
787-820-5409
Hatillo, PR 00659Get directions →

Provider Business Mailing Address Details

Address
6402 Tanzanite Dr
Killeen, TX 76542-3325
City
Killeen
State
TX
Zip
76542-3325
Phone Number
787-644-0957

License Information

License Number
579
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 Xiomara I Matos, OD?

The NPI number of Xiomara I Matos, OD is 1376577916. It was assigned on July 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Xiomara I Matos, OD?

Xiomara I Matos, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 579.

Where does Xiomara I Matos, OD practice?

The practice location is Carr. 2 Km 84.2, Bo. Carrizales, Hatillo, PR 00659. The office can be reached at 787-820-5378 (phone) or 787-820-5409 (fax).

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 1376577916 directly on the NPPES registry website.

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