Xiomara Ivellisse Matos, OD - Optometrist in Hatillo, PR

Xiomara Ivellisse Matos, OD is a Optometrist based in Hatillo, Puerto Rico. Xiomara Ivellisse Matos is licensed to practice in Puerto Rico (license number 579) and her current practice location is Carr. 2 Km 84.2, Bo. Carrizales, Hatillo, Puerto Rico. She can be reached at her office (for appointments etc.) via phone at (787) 820-5378.

NPI number for Xiomara Ivellisse Matos is 1376577916 and her current mailing address is 6402 Tanzanite Dr, Killeen, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376577916.

Contact Information

Xiomara Ivellisse Matos, OD
Carr. 2 Km 84.2, Bo. Carrizales,
Hatillo, PR 00659
(787) 820-5378
(787) 820-5409



Healthcare Provider's Profile

Full NameXiomara Ivellisse Matos
GenderFemale
SpecialityOptometrist
LocationCarr. 2 Km 84.2, Hatillo, Puerto Rico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376577916
  • Provider Enumeration Date: 07/10/2006
  • Last Update Date: 06/26/2017

Medical Identifiers

Medical identifiers for Xiomara Ivellisse Matos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376577916NPI-NPPES
100574OtherPRLA CRUZ AZUL
P927OtherPRFIRST MEDICAL
56760MAOtherPRTRIPLE SSS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 579 (Puerto Rico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Xiomara Ivellisse Matos is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Xiomara Ivellisse Matos, OD
6402 Tanzanite Dr,
Killeen, TX 76542-3325

Ph: (787) 644-0957
Xiomara Ivellisse Matos, OD
Carr. 2 Km 84.2, Bo. Carrizales,
Hatillo, PR 00659

Ph: (787) 820-5378

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› Verified 1 days ago


Optometrist in Hatillo, PR

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Medicare: Medicare Enrolled
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Phone: 787-820-3322    Fax: 787-882-1059
Mrs. Zaida Janette Artigas Luciano, OD
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Phone: 787-898-3398    Fax: 787-898-3398
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Medicare: Not Enrolled in Medicare
Practice Location: Hc 4 Box 49500, Hatillo, PR 00659
Phone: 787-607-6012    Fax: 787-422-2238

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