Dr Japhet D Matos Nieves, MD - Medicare General Practice in Hormigueros, PR

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Dr Japhet D Matos Nieves, MD is a medicare enrolled "General Practice" physician in Hormigueros, Puerto Rico. His current practice location is Urb Valle Hermoso Margarita Ste 41, Hormigueros, Puerto Rico. You can reach out to his office (for appointments etc.) via phone at (939) 240-3696.

Dr Japhet D Matos Nieves is licensed to practice in Puerto Rico (license number 23131) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538756333.

Contact Information

Dr Japhet D Matos Nieves, MD
Urb Valle Hermoso Margarita Ste 41,
Hormigueros, PR 00660
(939) 240-3696
Not Available

Map and Direction




Physician's Profile

Full NameDr Japhet D Matos Nieves
GenderMale
SpecialityGeneral Practice
LocationUrb Valle Hermoso Margarita Ste 41, Hormigueros, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538756333
  • Provider Enumeration Date: 12/28/2020
  • Last Update Date: 03/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002281276
  • Enrollment ID: I20230401000108

Medical Identifiers

Medical identifiers for Dr Japhet D Matos Nieves such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538756333NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 16095I (Puerto Rico)Secondary
363AM0700XPhysician Assistant - Medical 0025 (Puerto Rico)Secondary
208D00000XGeneral Practice 23131 (Puerto Rico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Japhet D Matos Nieves allows following entities to bill medicare on his behalf.
Entity NameCentro De Diagnostico Y Tratamiento De San Sebastian Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164466363
PECOS PAC ID: 7315924933
Enrollment ID: O20050913000095
Entity NamePoliclinica Familiar Shalom Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831302173
PECOS PAC ID: 8921373093
Enrollment ID: O20170929001901

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Japhet D Matos Nieves is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Japhet D Matos Nieves, MD
Po Box 369,
Mayaguez, PR 00681-0369

Ph: (939) 240-3696		Dr Japhet D Matos Nieves, MD
Urb Valle Hermoso Margarita Ste 41,
Hormigueros, PR 00660

Ph: (939) 240-3696

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.