Provider Demographics
NPI:1366159410
Name:MATOS, DALMA SAHIRIS
Entity type:Individual
Prefix:MS
First Name:DALMA
Middle Name:SAHIRIS
Last Name:MATOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:517 FLORAL DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34743-9415
Mailing Address - Country:US
Mailing Address - Phone:407-860-2912
Mailing Address - Fax:
Practice Address - Street 1:517 FLORAL DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34743-9415
Practice Address - Country:US
Practice Address - Phone:407-860-2912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-28
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator