Active NPIIndividual provider

Laura Mata Balderas, MD

Family Medicine in Mayaguez, Puerto Rico

NPI Number1689781148
Practice location
349 Ave Hostos, Medical Emporium II Suite A29, Mayaguez, PR 00680-1509
Fax
787-833-3831
Last updated
August 18, 2016

Laura Mata Balderas is a Family Medicine based in Mayaguez, PR. Laura Mata Balderas practices in Mayaguez, PR and has the professional credentials of MD. The NPI Number for Laura Mata Balderas is 1689781148 and holds a License No. 9091 (PR). The current practice location address for Laura Mata Balderas is 349 Ave Hostos, Medical Emporium II Suite A29, Mayaguez, PR 00680-1509 and can be reached out via phone at 787-690-2157 and via fax at 787-833-3831.

Provider Profile Details

NPI Number
1689781148
Provider Name
Laura Mata Balderas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
349 Ave Hostos, Medical Emporium II Suite A29, Mayaguez, PR 00680-1509
Phone Number
787-690-2157
Fax Number
787-833-3831
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 23, 2006
Last Update Date
August 18, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
349 Ave Hostos
Medical Emporium II Suite A29
Mayaguez, PR 00680-1509
Zip
00680-1509
Phone Number
787-690-2157
Fax Number
787-833-3831
Mayaguez, PR 00680Get directions →

Provider Business Mailing Address Details

Address
Po Box 472
Mayaguez, PR 00681-0472
City
Mayaguez
State
PR
Zip
00681-0472
Phone Number
787-690-2157
Fax Number
787-833-3831

License Information

License Number
9091
License State
PR
Taxonomy
Family Medicine · 207Q00000X · 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 Laura Mata Balderas, MD?

The NPI number of Laura Mata Balderas, MD is 1689781148. It was assigned on August 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Laura Mata Balderas, MD?

Laura Mata Balderas, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PR under license number 9091.

Where does Laura Mata Balderas, MD practice?

The practice location is 349 Ave Hostos, Medical Emporium II Suite A29, Mayaguez, PR 00680-1509. The office can be reached at 787-690-2157 (phone) or 787-833-3831 (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 1689781148 directly on the NPPES registry website.

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