Provider Demographics
NPI:1871780346
Name:MATOS, SERGIO (MD)
Entity type:Individual
Prefix:DR
First Name:SERGIO
Middle Name:
Last Name:MATOS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:CALLE 1 ,LOTE 18, SUITE 400 ,METRO OFFICE PARK
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968
Mailing Address - Country:US
Mailing Address - Phone:787-365-6286
Mailing Address - Fax:787-774-0549
Practice Address - Street 1:CALLE 1 ,LOTE 18, SUITE 400 ,METRO OFFICE PARK
Practice Address - Street 2:SUITE 400
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-365-6286
Practice Address - Fax:787-774-0549
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
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Provider Licenses
StateLicense IDTaxonomies
PR137662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry