Mateos, Yolanda Mantecon
Mateos, Yolanda Mantecon is an individual health care provider with primary practice located at 445 Pineda Ct , Melbourne FL 32940-7555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Mateos, Yolanda Mantecon can be contacted via phone (321) 254-8400.Contact Information
Primary practice address
445 Pineda Ct
Melbourne FL 32940-7555
Phone: (321) 254-8400
Fax: (321) 254-7306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | ME59415 | Florida |
Profile Details
| NPI number | 1780785121 |
|---|---|
| LBN Legal business name | Mateos, Yolanda Mantecon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2006 |
| Last updated | Jan 4th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780785121 | NPPES |
| Florida | MEDICAID | 058052000 |
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