Charlie Mata, is a
Registered Nurse based in Virginia Gardens, Florida. Charlie Mata is licensed to practice in Florida (license number 9347349) and his current practice location is
6350 Nw 37th Ter, Virginia Gardens, Florida. He can be reached at his office (for appointments etc.) via phone at
(305) 469-6836.
NPI number for Charlie Mata is 1013663343 and his current mailing address is 6350 Nw 37th Ter, Virginia Gardens, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013663343.
Provider's Profile
| Full Name | Charlie Mata |
|---|
| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 6350 Nw 37th Ter, Virginia Gardens, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013663343
- Provider Enumeration Date: 02/24/2022
- Last Update Date: 02/24/2022
Medical Identifiers
Medical identifiers for Charlie Mata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013663343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 9347349 (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. Charlie Mata 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 |
|---|
Charlie Mata,
6350 Nw 37th Ter,
Virginia Gardens, FL 33166-7031
Ph: (305) 469-6836 | Charlie Mata,
6350 Nw 37th Ter,
Virginia Gardens, FL 33166-7031
Ph: (305) 469-6836 |
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