Individual provider Active NPI

Rene Ramon Echevarria-Cofino, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1053391201
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
6046 Issued in PR
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

Updated by the provider on Oct 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Colonoscopy13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6046PRMDGeneral 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

Verify at the official NPI Registry.