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Dr. Ernesto Matamoros, MD
General Practice Physician in Miami, Florida
NPI 1639121577

Ernesto Matamoros is a General Practice Physician based in Hialeah, FL. Ernesto Matamoros practices in Miami, FL and has the professional credentials of MD. The NPI Number for Ernesto Matamoros is 1639121577 and holds a License No. ME38894 (Florida).

The current practice location address for Ernesto Matamoros is 1695 Sw 107Th Ave, Miami, FL and can be reached out via phone at 305-207-4443 and via fax at 305-207-4442.

Location: 1695 Sw 107Th Ave, Miami, FL, 33012-7201
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Provider Profile Details
NPI Number
1639121577
Provider Name
Ernesto Matamoros
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1695 Sw 107Th Ave, Miami, FL, 33012-7201
Phone Number
305-207-4443
Fax Number
305-207-4442
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95778 01 FL BC BS OF FL PROVIDER NO
ME38894 01 FL FL MEDICAL LICENSE NO
institution
Provider Business Practice Location Address Details
Address
1695 Sw 107Th Ave
City
State
Zip
33165-7344
Phone Number
305-207-4443
Fax Number
305-207-4442
person
Provider Business Mailing Address Details
Address
1695 Sw 107Th Ave
City
State
Zip
33165-7344
Phone Number
305-207-4443
Fax Number
305-207-4442
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME38894 (Florida)
Definition
Definition to come...
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