Individual provider Active NPI

Jose J Echenique Arana, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Juan, PR
National Provider Identifier
1083855696
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
21211 Issued in PR
Practice address
735 Ave Ponce de Leon Ste 201
San Juan, PR 00917-5023
Phone
(205) 777-1337
NPI assigned
Mar 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 284074 NY
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 21211 PR Primary

Addresses

Primary practice location

735 Ave Ponce de Leon Ste 201
San Juan, PR 00917-5023

Mailing address

735 Ave Ponce de Leon Ste 201
San Juan, PR 00917-5023

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
I20191017001467 PR Practitioner - Orthopedic Surgery 6406901404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Geisel School of Medicine at Dartmouth, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 201
San Juan, PR 00917-5023
Phone (787) 771-1000

Calle Cerra
Ave Kennedy
San Juan, PR 00907
Phone (787) 492-3922

Hospital & facility affiliations

  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)28
Upper limb (arm) arthroscopy (minimally invasive joint repair)115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Medicina Deportiva Y Servicios Multidisciplinarios CurrentSince Mar 4, 2023 Accepting new patients
Jeo LLC Sports Medicine CurrentSince Jun 1, 2019 Accepting new patients
Woman'S Surgical Specialty Group PastSince Nov 1, 2016 Accepting new patients

Locations

655 Ave Roberto H Todd
San Juan, PR 00907
Phone (787) 245-0000

735 Ave Ponce de Leon
Ste 201
San Juan, PR 00917
Phone (787) 771-1000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1083855696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175023",
            "telephone_number": "205-777-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHENIQUE ARANA",
        "first_name": "JOSE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "284074",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PR",
            "license": "21211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.