Look up the most recent NPI and PECOS records

Lucia Rivera Matos

Internal Medicine

Allopathic & Osteopathic Physicians

200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831

PECOS Enrollment

This provider is enrolled in PECOS as LUCIA RIVERA-MATOS.

Based on the most recent information from CMS, provider Lucia Rivera Matos 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 10 days ago.

Profile Details

Provider ID
1205331725
Provider Type
Individual
Full Name
Rivera Matos, Lucia
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/27/2018
Last Updated
11/27/2024

Contact Information

Practice Location

200 E Chestnut St Bldg Suite303, Louisville, KY 40202-1831

(502) 629-5552

(502) 629-3132

Mailing Location

PO Box 776351, Chicago, IL 60677-6351

(502) 588-9490

(502) 272-5116

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 56935 Kentucky
Code 207RG0100X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 56935 Kentucky
Code 207RT0003X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 036156423 Illinois
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Lucia Rivera Matos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Holthouser, Amy L.

Tuong, Hieu Trung

University Medical Associates

Skinner, Aaron Neal

Elrod, Jeffrey Mark

Gabbard, Julian Glenn

Currier, Alden Chase

University Of Louisville Physicians Inc.

Rosario, Zahira

Ivy, Kendra Nadine