Luis Angel Matos, M.D., MBA

Allergy Physician · Forest, VA

Individual Active NPI

NPI number 1972506509

Practice location

1019a Vista Park Dr
Forest, VA 24551-4901
Phone
(434) 515-0419
Fax
(844) 693-9305

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NPI record

NPI
1972506509
Entity type
Individual (Type 1)
Enumeration date
May 27, 2005
Last updated
April 10, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Allergy Physician Primary 207KA0200X 0101056392 VA
Pediatrics Physician 208000000X 0101056392 VA
Pediatric Allergy/Immunology Physician 2080P0201X 0101056392 VA

Mailing address

PO Box 13103
Roanoke, VA 24031-3103
Phone
(434) 252-0026
Fax
(844) 693-9305

About Dr. Matos

Luis Angel Matos, M.D., MBA is a healthcare provider registered in the NPI registry with the primary taxonomy Allergy Physician (code 207KA0200X). The practice location is 1019a Vista Park Dr, Forest, VA 24551-4901. The NPI number 1972506509 was assigned on May 27, 2005 and the record was last updated on April 10, 2018.

Dr. Matos lists 3 licenses in the registry: #0101056392 (VA) for Allergy Physician; #0101056392 (VA) for Pediatrics Physician; #0101056392 (VA) for Pediatric Allergy/Immunology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Luis Angel Matos, M.D., MBA?

The NPI number is 1972506509.

What is the phone number of Dr. Matos?

The phone number listed for the practice location is (434) 515-0419.

Where is Dr. Matos located?

1019a Vista Park Dr, Forest, VA 24551-4901.

What is the taxonomy code for Dr. Matos?

The primary taxonomy code is 207KA0200X – Allergy Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.