Mr. Edgar Ivan Matamoros is a Davie, Florida based nurse practitioner with 8 years of experience in Psych/Mental Health. He completed his graduation in 2017. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Edgar Ivan Matamoros is APRN9397926 for Psych/Mental Health in Florida. His current practice location is 5595 S University Dr, Davie. Patients can reach him at 954-276-3400. Mr. Edgar Ivan Matamoros is PMHNP-BC with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1801308317. Mr. Edgar Ivan Matamoros provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Mr. Edgar Ivan Matamoros speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7012279037
Enrollment ID:
I20180402001648
NPI Number:
1801308317
NPI Enumeration Date:
25 Oct, 2017
NPI Last Update On:
19 Mar, 2024
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Edgar Ivan Matamoros are as mentioned below.
License Number
Specialization
State
Status
APRN9397926
Psych/Mental Health
Florida
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Edgar Ivan Matamoros is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
South Broward Hospital District (8123927373)
420
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Edgar Ivan Matamoros such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
023991800
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Edgar Ivan Matamoros 2900 Corporate Way, Door D Miramar, Florida
Zip:
33025-3925
Phone Number:
954-276-5685
Patients can reach Mr. Edgar Ivan Matamoros at 5595 S University Dr, Davie, Florida or can call to book an appointment on 954-276-3400.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.