| Ricardo Luis Matos, MD | |
|
1821 Ne 25th St, Lighthouse Point, FL 33064-7744 | |
| (954) 942-0321 | |
| (954) 946-7018 |
| Full Name | Ricardo Luis Matos |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 29 Years |
| Location | 1821 Ne 25th St, Lighthouse Point, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134148067 | NPI | - | NPPES |
| 0502872 | Other | FL | GHI |
| 50209 | Other | FL | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD417760 (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | ME90399 (Florida) | Primary |
| 174400000X | Specialist | ME90399 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson Einstein Philadelphia Hospital | Philadelphia, PA | Hospital |
| Jefferson Einstein Montgomery Hospital | East norriton, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Einstein Practice Plan Inc | 2769395896 | 774 |
| Entity Name | Einstein Practice Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760434468 PECOS PAC ID: 2769395896 Enrollment ID: O20040219000728 |
| Mailing Address | Practice Location Address |
|---|---|
| Ricardo Luis Matos, MD 1821 Ne 25th St, Lighthouse Point, FL 33064-7744 Ph: (954) 942-0321 | Ricardo Luis Matos, MD 1821 Ne 25th St, Lighthouse Point, FL 33064-7744 Ph: (954) 942-0321 |
Mr. Bruce Peter Young, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1821 Ne 25th St, Lighthouse Point, FL 33064 Phone: 954-942-0321 Fax: 954-942-0432 |
Mr. Thomas John Goberville, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1821 Ne 25 Street, Lighthouse Point, FL 33064 Phone: 954-942-0321 Fax: 954-942-0432 |
Mr. William Raymond Mckay, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1821 Ne 25th St, Lighthouse Point, FL 33064 Phone: 954-942-0321 Fax: 954-942-0432 |
Mr. Dominic J Kleinhenz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1821 Ne 25th Street, Lighthouse Point, FL 33064 Phone: 954-942-0321 Fax: 954-942-0432 |