Individual provider Active NPI

Guillermo Cobas Echemendia

  • Registered Nurse
  • Quincy, MA
National Provider Identifier
1174415558
Registry record updated Jul 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN2388825 Issued in MA
Practice address
1 Newport Ave Apt 609
Quincy, MA 02171-2661
Phone
(786) 693-3152
NPI assigned
Jul 18, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 876596 NV
Registered Nurse 163W00000X RN9605951 FL
Registered Nurse 163W00000X 847964 NY
Registered Nurse 163W00000X RN2388825 MA Primary

Addresses

Primary practice location

1 Newport Ave Apt 609
Quincy, MA 02171-2661

Mailing address

1 Newport Ave Apt 609
Quincy, MA 02171-2661
Phone (786) 693-3152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN9605951FLMDRegistered Nurse
RN2388825MAMDRegistered Nurse
876596NVMDRegistered Nurse
847964NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752883200000",
    "number": "1174415558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NEWPORT AVE APT 609",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712661",
            "telephone_number": "786-693-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NEWPORT AVE APT 609",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712661",
            "telephone_number": "786-693-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBAS ECHEMENDIA",
        "first_name": "GUILLERMO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-19",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NV",
            "license": "876596",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9605951",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "847964",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2388825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2025; 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.