Provider Demographics
NPI:1326766197
Name:MATOS, BARBARA (APRN)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:MATOS
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:5101 SW 8TH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2442
Mailing Address - Country:US
Mailing Address - Phone:305-359-5037
Mailing Address - Fax:786-509-5544
Practice Address - Street 1:11440 N KENDALL DRIVE
Practice Address - Street 2:SUITE 306
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-1025
Practice Address - Country:US
Practice Address - Phone:305-402-4563
Practice Address - Fax:305-918-1077
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-18
Last Update Date:2025-02-06
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Provider Licenses
StateLicense IDTaxonomies
FLRN9394475163W00000X
FLF08220664363LF0000X
FLAPRN11021567363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse