Waldyr Mauricio Banderas Echeverry, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

NJDCATEM-037064 Issued in NJ

Practice address

3101 Jodhpurs LN Apt 2603
Orlando, FL 32837-4858

Phone

(786) 878-2913

NPI assigned

Dec 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1114513827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 JODHPURS LN APT 2603",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374858",
            "telephone_number": "786-878-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 JODHPURS LN APT 2603",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328374858",
            "telephone_number": "786-878-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDERAS ECHEVERRY",
        "first_name": "WALDYR",
        "middle_name": "MAURICIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-16",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "NJDCATEM-037064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.