Active NPI
Eco MD LLC
- Dermatology Physician
- Bayamon, PR
National Provider Identifier
1063343085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- ECO MD LLC
- Practice address
- 68 Calle Santa Cruz Ste 305
Bayamon, PR 00961-7036 - Phone
- (787) 798-1200
- NPI assigned
- May 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Estefania Cruzval O'Reilly, MD
- Title
- President
- Phone
- (787) 798-1200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
68 Calle Santa Cruz Ste 305
Bayamon, PR 00961-7036
Mailing address
68 Calle Santa Cruz Ste 305
Bayamon, PR 00961-7036
National Provider Directory
National Provider DirectoryLocations
68 Calle Santa Cruz
Ste 305
Bayamon, PR 00961
Phone (787) 798-1200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Bayamon, PR
- NPI 1083239214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780531200000",
"number": "1063343085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 CALLE SANTA CRUZ STE 305",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009617036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 CALLE SANTA CRUZ STE 305",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009617036",
"telephone_number": "787-798-1200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECO MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-27",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A",
"authorized_official_last_name": "CRUZVAL O'REILLY",
"authorized_official_first_name": "ESTEFANIA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-798-1200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.