CONSTANGELA MATOS NOBOA MD
NPI 1366175044
Student in an Organized Health Care Education/Training Program in Bronx, NY

Q: What is Constangela Matos Noboa's NPI number?

The NPI number for Constangela Matos Noboa is 1366175044. It was assigned to this individual provider in the NPPES registry on July 8, 2022.

Q: What is Constangela Matos Noboa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since July 08, 2022PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-9892 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 1, 2026, Jul 8, 2022 (2 updates tracked since 2022).

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About Constangela Matos Noboa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONSTANGELA MATOS NOBOA MD (NPI 1366175044) is an individual student in an organized health care education/training program in Bronx, New York and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pembroke Pines.

NPPES Registry Identity

NPI1366175044

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCONSTANGELA MATOS NOBOACredential: MD

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-9892

Phone(718) 920-9892

Sole ProprietorYes

Enumeration DateJuly 8, 2022

Last NPPES UpdateMay 1, 20262 updates tracked since enumeration

NPPES CertifiedMay 1, 2026

✔ NPI 1366175044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 E 210TH ST, Bronx, NY 10467

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Secondary Practice Location 1

Location 1703 N Flamingo RdPembroke Pines, FL 33028-1006 · Phone (954) 436-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Constangela Matos Noboa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)