Individual provider · Type 1 NPI
Jose Luis Matias Sr., PA
Medical Physician Assistant · Ponce, PR
NPI number
1497393706
Active
Practice location
Calle Eden, X26 Glenview Garden
Ponce, PR 00730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 225 (PR) |
Medical Physician Assistant: Definition to come...
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About NPI 1497393706
Jose Luis Matias Sr., PA's National Provider Identifier is 1497393706, issued on Dec 17, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ponce, PR. The record was last updated on Dec 17, 2019.