Reyes Matos, Betania
Reyes Matos, Betania is an sole proprietor health care provider with primary practice located at 8803 Futures Dr Ste 9 , Orlando FL 32819-9076. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Reyes Matos, Betania can be contacted via phone (407) 240-2361.Contact Information
Primary practice address
8803 Futures Dr Ste 9
Orlando FL 32819-9076
Phone: (407) 240-2361
Fax: (407) 345-8895
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN612 | Florida |
Profile Details
| NPI number | 1629031679 |
|---|---|
| LBN Legal business name | Reyes Matos, Betania |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2006 |
| Last updated | Jun 1st, 2023 - about last year |
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 | 1629031679 | NPPES |
| Florida | Other | IC109Z | MEDICARE PTAN |
| Florida | MEDICAID | 014084800 | MEDICARE PTAN |
| Florida | Other | 612 | MEDICARE PTAN |
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