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Alex Mataverde MD PC

General Practice Physician in Allen Park, MI · enumerated 2010 · authorized official Alex Mataverde, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417270018

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Registry record

Entity type Organization (Type 2)
Legal business name Alex Mataverde MD PC
Other name <Unavail>
Practice address 15101 Southfield Rd, Allen Park, MI, 48101
Phone (313) 336-3180
Fax (313) 593-4648
Enumeration date Mar 10, 2010
Last updated in NPPES May 19, 2010

Taxonomy & classification

208D00000X General Practice Physician Allopathic & Osteopathic Physicians · License 4301031512 (MI) Primary

Authorized official

Name Alex Mataverde
Title Physician
Phone (313) 336-3180

Other identifiers

Identifier Type State Issuer
1430258 Medicaid MI -
4301031512 Other MI LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Alex Mataverde MD PC?
The NPI for Alex Mataverde MD PC is 1417270018, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Alex Mataverde MD PC?
NPPES lists Alex Mataverde (Physician) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-05-19.