FATIMA ABDEL LATIF AJAJ MATOS MD
NPI 1720719719
Student in an Organized Health Care Education/Training Program in Tamarac, FL

Active since June 21, 2022PECOS Enrolled
7201 N UNIVERSITY DR, TAMARAC, FL 33321(954) 724-6540 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 3, 2023, Mar 24, 2023 (2 updates tracked since 2023).

About Fatima Abdel Latif Ajaj Matos Md NPPES

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

FATIMA ABDEL LATIF AJAJ MATOS MD (NPI 1720719719) is an individual student in an organized health care education/training program in Tamarac, Florida and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720719719
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFATIMA ABDEL LATIF AJAJ MATOSCredential: MD
Location Address7201 N UNIVERSITY DRTamarac, FL 33321-2913
Mailing Address7201 N University DrTamarac, FL 33321-2913 · (954) 724-6540
Sole ProprietorNo
Enumeration DateJune 21, 2022
Last NPPES UpdateApril 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
NPI 1720719719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

7201 N UNIVERSITY DR, Tamarac, FL 33321

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fatima Abdel Latif Ajaj Matos 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.

Pathology (Anatomic Pathology & Clinical Pathology)
7201 N UNIVERSITY DR, PATHOLOGY DEPT
TAMARAC, FL 33321
Radiology (Diagnostic Radiology)
7201 N UNIVERSITY DR
TAMARAC, FL 33321
Pharmacist
7201 N UNIVERSITY DR
TAMARAC, FL 33321
Radiology (Diagnostic Radiology)
7201 N UNIVERSITY DR
TAMARAC, FL 33321
Nurse Practitioner (Acute Care)
7201 N UNIVERSITY DR
TAMARAC, FL 33321
Emergency Medicine
7201 N UNIVERSITY DR
TAMARAC, FL 33321
Emergency Medicine
7201 N UNIVERSITY DR
TAMARAC, FL 33321
Psychiatry & Neurology (Psychiatry)
7201 N UNIVERSITY DR, PBCGME/UNIVERSITY HOPSITAL AND MEDICAL CENTER
TAMARAC, FL 33321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720719719, enumerated as an "individual" on June 21, 2022.

The provider is located at 7201 N UNIVERSITY DR TAMARAC, FL 33321 and the phone number is (954) 724-6540.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.