Omar Ali Ahmed Matamoros, RN is a
Registered Nurse based in Pinecrest, Florida. Omar Ali Ahmed Matamoros is licensed to practice in Florida (license number RN9700047) and his current practice location is
8600 Sw 67th Ave Apt 909, Pinecrest, Florida. He can be reached at his office (for appointments etc.) via phone at
(305) 990-3822.
NPI number for Omar Ali Ahmed Matamoros is 1093634131 and his current mailing address is 8600 Sw 67th Ave Apt 909, Pinecrest, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093634131.
Provider's Profile
| Full Name | Omar Ali Ahmed Matamoros |
|---|
| Gender | Male |
|---|
| Speciality | Registered Nurse |
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| Location | 8600 Sw 67th Ave Apt 909, Pinecrest, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093634131
- Provider Enumeration Date: 07/13/2026
- Last Update Date: 07/13/2026
Medical Identifiers
Medical identifiers for Omar Ali Ahmed Matamoros such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1093634131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | RN9700047 (Florida) | Primary |
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. Omar Ali Ahmed Matamoros is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Omar Ali Ahmed Matamoros, RN 8600 Sw 67th Ave Apt 909, Pinecrest, FL 33156-1100 Ph: (305) 990-3822 | Omar Ali Ahmed Matamoros, RN 8600 Sw 67th Ave Apt 909, Pinecrest, FL 33156-1100 Ph: (305) 990-3822 |
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