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CARLOS M MATOS MD
NPI 1912989609
Internal Medicine in Santarce, PR

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
AVE POUNCE DE LEON 1431, SUITE 501, SANTARCE, PR 00907(787) 722-8238 Get Directions Write a Review

NPPES record last updated: January 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carlos M Matos Md NPPES

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

CARLOS M MATOS MD (NPI 1912989609) is an individual internal medicine provider in Santarce, Puerto Rico, licensed in Puerto Rico (10325) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Hospital Pavia Santurce, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1912989609
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARLOS M MATOSCredential: MD
Location AddressAVE POUNCE DE LEON 1431, SUITE 501Santarce, PR 00907
Mailing AddressPo Box 9026San Juan, PR 00908-0026 · (787) 722-8238 · Fax (787) 722-8639
Phone(787) 722-8238
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateNovember 17, 2005
Last NPPES UpdateJanuary 25, 2011
✔ NPI 1912989609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PR · 10325
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
AVE POUNCE DE LEON 1431, Santarce, PR 00907
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Other Identifiers 2

Medicare UPINE41169
Medicare ID-Type Unspecified88048PR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlos M Matos Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799965802
PECOS Enrollment IDI20110207000843
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services40 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Pavia Santurce

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400019
LocationStreet Profesor Augusto Rodriguez #1462San Juan, PR 00910 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Carlos Matos's NPI number?

The NPI number for Carlos Matos is 1912989609. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Carlos Matos located?

Carlos Matos practices at Ave Pounce De Leon 1431 Suite 501, Santarce, PR 00907. The listed phone number is (787) 722-8238.

What is Carlos Matos's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carlos Matos enrolled in Medicare?

Yes. Carlos Matos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Carlos Matos affiliated with any hospitals?

According to CMS data, Carlos Matos is affiliated with Hospital Pavia Santurce.

When was this NPI record last updated?

The NPPES record for Carlos Matos was last updated on January 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.