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DR. MELISSA MARIA MEDINA MATOS DMD
NPI 1417445420
Dentist - General Practice in Arecibo, PR

Active since April 25, 2018
CARR. 628 KM 3.9, BO. MANANTIALES, SECTOR JOBALES, ARECIBO, PR 00612(787) 881-1350 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2020, Apr 25, 2018 (2 updates tracked since 2018).

About Dr. Melissa Maria Medina Matos Dmd NPPES

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

DR. MELISSA MARIA MEDINA MATOS DMD (NPI 1417445420) is an individual general practice provider in Arecibo, Puerto Rico, licensed in Puerto Rico (3294) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1417445420
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MELISSA MARIA MEDINA MATOSCredential: DMD
Location AddressCARR. 628 KM 3.9, BO. MANANTIALES, SECTOR JOBALESArecibo, PR 00612
Mailing AddressUniversity Gardens Ausubo St. J-23Arecibo, PR 00612 · (787) 233-3508
Phone(787) 881-1350
Sole ProprietorYes
Enumeration DateApril 25, 2018
Last NPPES UpdateJune 26, 20202 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
✔ NPI 1417445420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PR · 3294
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Other Names 1

Other Name (5)Mrs. Melissa Medina

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Medina Matos's NPI number?

The NPI number for Melissa Medina Matos is 1417445420. It was assigned to this individual provider in the NPPES registry on April 25, 2018. The provider is also known as Mrs. Melissa Medina.

Where is Melissa Medina Matos located?

Melissa Medina Matos practices at Carr. 628 Km 3.9 Bo. Manantiales, Sector Jobales, Arecibo, PR 00612. The listed phone number is (787) 881-1350.

What is Melissa Medina Matos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Melissa Medina Matos was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.