Pichardo-Matos, Elsa
Pichardo-Matos, Elsa is an individual health care provider with primary practice located at 6929 Sunset Strip Sunset Strip Medical Center, Sunrise FL 33313. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Pichardo-Matos, Elsa can be contacted via phone (954) 578-0200.Contact Information
Primary practice address
6929 Sunset Strip Sunset Strip Medical Center
Sunrise FL 33313
Phone: (954) 578-0200
Fax: (954) 578-0050
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME0040800 | Florida |
Profile Details
NPI number | 1972516656 |
---|---|
LBN Legal business name | Pichardo-Matos, Elsa |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2006 |
Last updated | Jun 13th, 2013 - about 11 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 | 1972516656 | NPPES |
Florida | MEDICAID | 425168 | |
Florida | Other | ME0040800 |
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