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
Fax: (954) 578-0050
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972516656 NPPES
Florida MEDICAID 425168
Florida Other ME0040800

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