Provider Demographics
NPI:1164184396
Name:LUZ, MATTHEW (PA-C)
Entity type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:
Last Name:LUZ
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:33 COLLEGE HILL RD UNIT 29
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2776
Mailing Address - Country:US
Mailing Address - Phone:401-822-4673
Mailing Address - Fax:401-822-4676
Practice Address - Street 1:33 COLLEGE HILL RD UNIT 29
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-2776
Practice Address - Country:US
Practice Address - Phone:401-822-4673
Practice Address - Fax:401-822-4676
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-05
Last Update Date:2025-12-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
RIPA01408363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant