Mara M Gonzalez Echevarria, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16152-I Issued in PR

Practice address

C.Jose de Diego
Caimital Bajo
Aguadilla, PR 00603

Phone

(787) 658-0000

NPI assigned

May 24, 2022

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Costa Salud Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Rincon, PR
  • NPI 1912997768
  Medicare reassignment NPD
• Costa Salud Community Health Centers, Inc

  • Clinical Medical Laboratory
  • Moca, PR
  • NPI 1396517082
  NPD

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1275271801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4055",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C.JOSE DE DIEGO",
            "address_2": "CAIMITAL BAJO",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-658-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ ECHEVARRIA",
        "first_name": "MARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16152-I",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo A Gomez Cortes
• Dana Marie Gomez
• Elizabeth Gomez
• Elliot Gerardo Gomez, DPT
• Cristina Gonzalez Crespo
• Johans Gonzalez Gonzalez, M.D.
• Oniel Gonzalez Gonzalez
• Wildallys Gonzalez Hernandez, M.A.
• Carmen Edeyl Gonzalez Munoz, M.D.
• Gilmar Gonzalez Romero, M.D.

• General Practice Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.