Shantal Marie Matutes, MD
Internal Medicine in Hialeah, FL. Individual provider (NPI-1).
NPI number1023578317
StatusActive
Last updated in NPPESSep 13, 2022
Details
- NPI
- 1023578317
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shantal Marie Matutes
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 22, 2019
- Certification date
- Sep 13, 2022
- Last updated
- Sep 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME157732 | FL | Yes |
Practice location
2150 W 76th St Ste 110Hialeah, FL 33016-1884
Phone 305-821-9791 · Fax 305-821-6783
Mailing address
Po Box 25487Sarasota, FL 34277-2487
Phone 941-202-5342
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