IndividualActive
Miguel Matos, DO, MBA, MHA, MS
NPI 1790920775 · Trauma Surgery Physician · Roanoke, VA
Provider details
- NPI number
- 1790920775
- Entity type
- Individual
- Primary specialty
- Trauma Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO, MBA, MHA, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 0102205056 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3 Riverside Cir
Roanoke, VA 24016-4955
Phone: (540) 224-5170
Fax: (540) 983-8212
Approximate (ZIP-level) locationGet directions
Mailing address
3 Riverside Cir
Roanoke, VA 24016-4955
Additional practice locations (1)
- 1201 Washington St E Ste 208Charleston, WV 25301-1841Phone: (304) 388-7270
Registry dates
- Enumerated
- 2008-12-04
- Last updated
- 2021-08-11
- Certified
- 2021-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.