Active NPI
Leonel Echeverri Aguilera, SA-C
- Surgical Assistant
- Coral Gables, FL
National Provider Identifier
1013628213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 22774
- Practice address
- 401 SW 42ND Ave
Coral Gables, FL 33134-1938 - Phone
- (786) 747-1330
- NPI assigned
- Dec 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 22774 | FL | Primary |
Addresses
Primary practice location
401 SW 42ND Ave
Coral Gables, FL 33134-1938
Mailing address
305 3Rd St Unit a
Lake Park, FL 33403-3438
Phone (786) 747-1330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22774 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670457600000",
"number": "1013628213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 3RD ST UNIT A",
"city": "LAKE PARK",
"state": "FL",
"postal_code": "334033438",
"telephone_number": "786-747-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SW 42ND AVE",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341938",
"telephone_number": "786-747-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHEVERRI AGUILERA",
"first_name": "LEONEL",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-08",
"last_updated": "2022-12-08",
"certification_date": "2022-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "22774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.