| Doctor Name: | ROSA MATONTI |
| NPI Number: | 1003082330 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, CNS, CDE |
| License Number: | 26020 |
| Business Practice Address: | 1217 1st St Nw Albuquerque, NM - 871021529 |
| Business Phone Number: | 5056810178 |
| Business Fax Number: | |
| Mailing Address: | 9908 Irbid Rd Ne, ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871223330 |
| Phone Number: | 5057974226 |
| Fax Number: | |
| NPI Enumeration Date: | 05/06/2008 |
| NPI Last Update Date: | 09/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 26020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |