Active NPI
Mariana C Echenique Arana, DMD
- Dentist
- Caguas, PR
National Provider Identifier
1043711492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3374
- Practice address
- Carretera #172, KM 19.5 Canaboncito
Caguas, PR 00725 - Phone
- (787) 747-6664
- NPI assigned
- Feb 21, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 060730 | NY | |
| Dentist | 122300000X | 3374 | PR | Primary |
Addresses
Primary practice location
Carretera #172, KM 19.5 Canaboncito
Caguas, PR 00725
Mailing address
580 Saint Nicholas Ave Apt 3B
New York, NY 10030-1921
Phone (787) 449-9194
Other practice location 1
111 E 210th St
Bronx, NY 10467-2401
Phone (888) 700-6623
Other practice location 2
2665 Grand Concourse
Bronx, NY 10468-3744
Phone (718) 365-8660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060730 | NY | MD | Dentist |
| 3374 | PR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1043711492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 SAINT NICHOLAS AVE APT 3B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100301921",
"telephone_number": "787-449-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARRETERA #172, KM 19.5 CANABONCITO",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-747-6664"
}
],
"practiceLocations": [
{
"address_1": "111 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "888-700-6623",
"fax_number": "888-700-6623",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2665 Grand Concourse",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104683744",
"country_code": "US",
"telephone_number": "718-365-8660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ECHENIQUE ARANA",
"first_name": "MARIANA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-21",
"last_updated": "2021-04-06",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "060730",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "3374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.