Individual provider Active NPI

Jose Jaime Ballester Echegaray, MD

  • General Practice Physician
  • Mayaguez, PR
National Provider Identifier
1114994282
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9658 Issued in PR
Practice address
PLZ Yaguez
Mayaguez, PR 00680-3874
Phone
(787) 805-7550
Fax
(787) 805-7570
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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 9658 PR Primary

Addresses

Primary practice location

PLZ Yaguez
Mayaguez, PR 00680-3874

Mailing address

PO Box 749
Boqueron, PR 00622-0749
Phone (787) 804-0010

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
I20110318000572 PR Practitioner - General Practice 9234312828 Practice locations: Mayaguez, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9658PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1114994282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006220749",
            "telephone_number": "787-804-0010",
            "fax_number": "787-804-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLZ YAGUEZ",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006803874",
            "telephone_number": "787-805-7550",
            "fax_number": "787-805-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALLESTER ECHEGARAY",
        "first_name": "JOSE",
        "middle_name": "JAIME",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.