Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LUIS ANGEL MATOS, M.D., MBA
ActiveDR. LUIS ANGEL MATOS, M.D., MBA is a Allergy healthcare provider located in FOREST, Virginia. NPI 1972506509 is currently active in the NPPES registry. Verify at CMS.
Allergy · FOREST, VA
Registration Details
- NPI Number
- 1972506509
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2005 (21.174966590058 yrs)
- Last Updated
- Apr 10, 2018
- Licenses
-
0101056392 (VA)0101056392 (VA)0101056392 (VA)
Practice Information
- Address
-
1019A VISTA PARK DRFOREST, VA, 245514901Browse VA providers · Browse ZIP 24551
- Phone
- 4345150419
- Fax
- 8446939305
- Primary Specialty
-
Allergy
207KA0200X
- Additional Specialty
- Pediatric Allergy/Immunology
- Additional Specialty
- Allergy
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.