Active NPIIndividual providerSole proprietor

Dr. Melissa M Medina Matos, DMD

Dentist, General Practice in Arecibo, Puerto Rico

NPI Number1417445420
Practice location
Carr. 628 Km 3.9, Bo. Manantiales, Sector Jobales, Arecibo, PR 00612
Fax
—
Last updated
June 26, 2020

Melissa Maria Medina Matos is a Dentist, General Practice based in Arecibo, PR. Melissa Maria Medina Matos practices in Arecibo, PR and has the professional credentials of DMD. The NPI Number for Melissa Maria Medina Matos is 1417445420 and holds a License No. 3294 (PR). The current practice location address for Melissa Maria Medina Matos is Carr. 628 Km 3.9, Bo. Manantiales, Sector Jobales, Arecibo, PR 00612 and can be reached out via phone at 787-881-1350.

Provider Profile Details

NPI Number
1417445420
Provider Name
Melissa Maria Medina Matos
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
Carr. 628 Km 3.9, Bo. Manantiales, Sector Jobales, Arecibo, PR 00612
Phone Number
787-881-1350
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Other Names
Mrs. Melissa Medina (Other Name)
Provider Enumeration Date
April 25, 2018
Last Update Date
June 26, 2020
Certification Date
June 26, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr. 628 Km 3.9
Bo. Manantiales, Sector Jobales
Arecibo, PR 00612
Zip
00612
Phone Number
787-881-1350
Arecibo, PR 00612Get directions →

Provider Business Mailing Address Details

Address
University Gardens Ausubo St. J-23
Arecibo, PR 00612
City
Arecibo
State
PR
Zip
00612
Phone Number
787-233-3508

License Information

License Number (2)
3294
License State (2)
PR
Taxonomy (2)
Dentist, General Practice · 1223G0001X · 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. Melissa M Medina Matos, DMD?

The NPI number of Dr. Melissa M Medina Matos, DMD is 1417445420. It was assigned on April 25, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Melissa M Medina Matos, DMD?

Dr. Melissa M Medina Matos, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 3294.

Where does Dr. Melissa M Medina Matos, DMD practice?

The practice location is Carr. 628 Km 3.9, Bo. Manantiales, Sector Jobales, Arecibo, PR 00612. The office can be reached at 787-881-1350 (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 1417445420 directly on the NPPES registry website.

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