Look up the most recent NPI and PECOS records

Osvaldo Matos Ross

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9333 SW 152nd St, Palmetto Bay, FL 33157-1778

PECOS Enrollment

Based on the most recent information from CMS, provider Osvaldo Matos Ross is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1194205120
Provider Type
Individual
Full Name
Matos Ross, Osvaldo
Gender
Male

Sole Proprietor
No
Enumeration Date
8/20/2018
Last Updated
8/20/2018

Contact Information

Practice Location

9333 SW 152nd St, Palmetto Bay, FL 33157-1778

(305) 256-5340

Unlisted Fax

Mailing Location

8529 Franjo Rd, Cutler Bay, FL 33189-2517

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9410903 Florida

Osvaldo Matos Ross

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rodriguez, Delkis

Travieso Jorge, Dorisley

Russo, Ana

Noa, Georgette

D'Adesky, Taryn

Garcia, Ivonne

Perez Campos, Xiomara

Lopez, David Leonardo

Garcia, Ulrica

Duran, Gloria Mercedes