Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RODRIGO A MATA JR., M.D.
Active Sole ProprietorRODRIGO A MATA JR., M.D. is a Family Medicine healthcare provider located in KENOSHA, Wisconsin. NPI 1104127372 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · KENOSHA, WI
Registration Details
- NPI Number
- 1104127372
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2010 (15.763033397092 yrs)
- Last Updated
- Nov 4, 2010
- License
-
22023-20 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6123 GREEN BAY RDSUITE 120KENOSHA, WI, 531422927Browse WI providers · Browse ZIP 53142
- Phone
- 2626526995
- Fax
- 2626521370
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| DR. JAWAID QUDDUS | MD, PHD | 1386631661 |
| DR. STEPHEN P FEUERBACH | M.D. | 1386608677 |
| MISO NIKO MILOSLAVIC | MD | 1326094731 |
| LEONARDO MONTEMURRO SR. | MD | 1689620072 |
| XA X XIONG | MD | 1629015334 |
| ELIZABETH A ANTOO | MD | 1760422240 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.