Matos, Xiomara Ivellisse
Matos, Xiomara Ivellisse is an sole proprietor health care provider with primary practice located at Carr. 2 Km 84.2 Bo. Carrizales, Hatillo PR 00659. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Matos, Xiomara Ivellisse can be contacted via phone (787) 820-5378.Contact Information
Primary practice address
Carr. 2 Km 84.2 Bo. Carrizales
Hatillo PR 00659
Phone: (787) 820-5378
Fax: (787) 820-5409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 579 | Puerto Rico |
Profile Details
| NPI number | 1376577916 |
|---|---|
| LBN Legal business name | Matos, Xiomara Ivellisse |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jun 26th, 2017 - about 7 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 | 1376577916 | NPPES |
| Puerto Rico | Other | 100574 | LA CRUZ AZUL |
| Puerto Rico | Other | P927 | LA CRUZ AZUL |
| Puerto Rico | Other | 56760MA | LA CRUZ AZUL |
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