Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mateo Guarderas Ribadeneira, MD

Individual provider Surgery Physician · NPI 1487004990

Mateo Guarderas Ribadeneira, MD is a General Surgery in Russellville, Arkansas. Qualified in 2013, 13 years ago. Practices with St Marys Physician Services LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
13
Licensed in
AR
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

101 Skyline Dr
Russellville, AR 72801-3395
Phone: (479) 968-2345
Fax: (479) 890-7180
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence E-15224 (AR)

Record details

NPI number1487004990
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2016
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice St Marys Physician Services Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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