National Provider Identifier
Manuel Matos Jr., L.P.N
Manuel Matos Jr., L.P.N is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 458-0428.
Profile Overview
- NPI
- 1366728180
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- October 25, 2011
- Last Updated
- October 25, 2011
Practice Location
- 110 Mount Read Blvd
- Rochester, NY 14611-1925
Phone: (585) 458-0428
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1366728180
- Entity Type
- Individual
- Last Name
- Matos
- First Name
- Manuel
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- L.P.N
- Mailing Street Address
- 110 Mount Read Blvd
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14611-1925
- Mailing Country
- US
- Mailing Phone
- (585) 458-0428
- Practice Street Address
- 110 Mount Read Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-1925
- Practice Country
- US
- Practice Phone
- (585) 458-0428
- Enumeration Date
- October 25, 2011
- Last Updated
- October 25, 2011
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)