DR. DANIEL EDUARDO MATIENZO
NPI 1679102131
Student in an Organized Health Care Education/Training Program in Plantation, FL
About Dr. Daniel Eduardo Matienzo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DANIEL EDUARDO MATIENZO (NPI 1679102131) is an individual student in an organized health care education/training program in Plantation, Florida and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Daniel Eduardo Matienzo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PLANTATION, FL 33324
PLANTATION, FL 33324
PLANTATION, FL 33324
PLANTATION, FL 33324
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 Daniel Matienzo's NPI number?
The NPI number for Daniel Matienzo is 1679102131. It was assigned to this individual provider in the NPPES registry on April 6, 2020.
Where is Daniel Matienzo located?
Daniel Matienzo practices at 8201 W Broward Blvd, Plantation, FL 33324. The listed phone number is (964) 723-1207.
What is Daniel Matienzo's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Daniel Matienzo enrolled in Medicare?
Yes. Daniel Matienzo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Daniel Matienzo was last updated on April 6, 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.
# Dr. Daniel Eduardo Matienzo · NPI 1679102131
Student in an Organized Health Care Education/Training Program provider in Plantation, Florida. Individual provider, active in the CMS NPPES registry since April 6, 2020.
## Identity
- **NPI:** 1679102131 (Entity type: Individual)
- **Enumerated:** April 6, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 8201 W BROWARD BLVD, Plantation, FL 33324-2701
- **Phone:** (964) 723-1207
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 6, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1679102131) · Data from the CMS NPPES public registry.