Individual provider · Type 1 NPI
Luis Angel Matos, MD, MBA
Allergy Physician · Forest, VA
NPI number
1972506509
Active
Practice location
1019A Vista Park Dr
Forest, VA 24551-4901
Fax (844) 693-9305
Mailing address
PO Box 13103
Roanoke, VA 24031-3103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 0101056392 (VA) |
| Pediatric Allergy/Immunology Physician | 2080P0201X | 0101056392 (VA) |
| Allergy Physician Primary | 207KA0200X | 0101056392 (VA) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
2 other providers at this address
About NPI 1972506509
Luis Angel Matos, MD, MBA's National Provider Identifier is 1972506509, issued on May 27, 2005. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Forest, VA. The record was last updated on Apr 10, 2018.