Active NPIIndividual providerSole proprietor

Dr. Waldemar Matias, PA

Physician Assistant, Medical in Ponce, Puerto Rico

NPI Number1679141592
Practice location
Canas Medical Center Plaza Gabriela Carr 132, Km22.1 Bo Canas, Ponce, PR 00728
Fax
787-812-3931
Last updated
June 16, 2021

Waldemar Matias is a Physician Assistant, Medical based in Ponce, PR. Waldemar Matias practices in Ponce, PR and has the professional credentials of PA. The NPI Number for Waldemar Matias is 1679141592 and holds a License No. 318PA (PR). The current practice location address for Waldemar Matias is Canas Medical Center Plaza Gabriela Carr 132, Km22.1 Bo Canas, Ponce, PR 00728 and can be reached out via phone at 787-212-3939 and via fax at 787-812-3931.

Provider Profile Details

NPI Number
1679141592
Provider Name
Waldemar Matias
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
Canas Medical Center Plaza Gabriela Carr 132, Km22.1 Bo Canas, Ponce, PR 00728
Phone Number
787-212-3939
Fax Number
787-812-3931
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 16, 2021
Last Update Date
June 16, 2021
Certification Date
May 23, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
Canas Medical Center Plaza Gabriela Carr 132
Km22.1 Bo Canas
Ponce, PR 00728
City
Ponce
Zip
00728
Phone Number
787-212-3939
Fax Number
787-812-3931
Ponce, PR 00728Get directions →

Provider Business Mailing Address Details

Address
Hc 1 Box 3887
Adjuntas, PR 00601-9595
City
Adjuntas
State
PR
Zip
00601-9595
Phone Number
787-375-6977

License Information

License Number
318PA
License State
PR
Taxonomy
Physician Assistant, Medical · 363AM0700X · 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. Waldemar Matias, PA?

The NPI number of Dr. Waldemar Matias, PA is 1679141592. It was assigned on June 16, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Waldemar Matias, PA?

Dr. Waldemar Matias, PA is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PR under license number 318PA.

Where does Dr. Waldemar Matias, PA practice?

The practice location is Canas Medical Center Plaza Gabriela Carr 132, Km22.1 Bo Canas, Ponce, PR 00728. The office can be reached at 787-212-3939 (phone) or 787-812-3931 (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 1679141592 directly on the NPPES registry website.

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