Active NPI
Rene Ramon Echevarria-Cofino, M.D.
- General Practice Physician
- San Juan, PR
National Provider Identifier
1053391201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 6046
- Practice address
- 122 Calle Rodrigo de Triana
El Vedado, Hato Rey
San Juan, PR 00918-3206 - Phone
- (787) 756-6515
- Fax
- (787) 783-8378
- NPI assigned
- Jan 21, 2006
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 6046 | PR | Primary |
Addresses
Primary practice location
122 Calle Rodrigo de Triana
El Vedado, Hato Rey
San Juan, PR 00918-3206
Mailing address
PO Box 361478
San Juan, PR 00936-1478
Phone (787) 756-6515
Other names 1
- Dr. Rene Ramon Echevarria-Cofino
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120326000607 | PR | Practitioner - General Practice | 0042470239 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Rodrigo de Triana St
Suite 122
San Juan, PR 00918-3206
Phone (787) 756-6515
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6046 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1053391201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361478",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009361478",
"telephone_number": "787-756-6515",
"fax_number": "787-783-8378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 CALLE RODRIGO DE TRIANA",
"address_2": "EL VEDADO, HATO REY",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183206",
"telephone_number": "787-756-6515",
"fax_number": "787-783-8378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHEVARRIA-COFINO",
"first_name": "RENE",
"middle_name": "RAMON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-21",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "6046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENE",
"last_name": "ECHEVARRIA-COFINO",
"middle_name": "RAMON",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.