Active NPI
Olga L. Echeverria, MD
- Pediatrics Physician
- Weston, FL
National Provider Identifier
1285828533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME118569
- Practice address
- 2771 Executive Park Dr Ste 1
Weston, FL 33331-3643 - Phone
- (954) 251-0011
- Fax
- (954) 251-0011
- NPI assigned
- Aug 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME118569 | FL | Primary |
Addresses
Primary practice location
2771 Executive Park Dr Ste 1
Weston, FL 33331-3643
Mailing address
1812 Victoria Pointe Cir
Weston, FL 33327-1307
Phone (718) 483-4340
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME118569 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Pediatrics | Current | Accepting new patients |
Locations
3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641
1951 SW 172nd Ave
Ste 212
Miramar, FL 33029
Phone (954) 507-4494
2771 Executive Park Dr
Ste 1
Weston, FL 33331
Phone (954) 251-0011
Interoperability endpoints
- oecheverriavirviescas128973@mhsdirect.net
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596844800000",
"number": "1285828533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 VICTORIA POINTE CIR",
"city": "WESTON",
"state": "FL",
"postal_code": "333271307",
"telephone_number": "718-483-4340",
"fax_number": "954-251-0011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2771 EXECUTIVE PARK DR STE 1",
"city": "WESTON",
"state": "FL",
"postal_code": "333313643",
"telephone_number": "954-251-0011",
"fax_number": "954-251-0011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHEVERRIA",
"first_name": "OLGA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2020-08-08",
"certification_date": "2020-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME118569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.