Organization Active NPI

Olga Echeverria MD

  • Pediatrics Physician
  • Pembroke Pines, FL
National Provider Identifier
1306232111
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME118569 Issued in FL
Legal business name
OLGA ECHEVERRIA MD
Practice address
17761 SW 2ND St
Pembroke Pines, FL 33029-3924
Phone
(786) 484-0088
NPI assigned
Apr 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Olga Echeverria
Title
MD
Phone
(786) 484-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X ME118569 FL Primary

Addresses

Primary practice location

17761 SW 2ND St
Pembroke Pines, FL 33029-3924

Mailing address

17761 SW 2ND St
Pembroke Pines, FL 33029-3924
Phone (786) 484-0088

Other identifiers 2

IdentifierTypeStateIssuer
03159340MedicaidNY
010894700MedicaidFL

National Provider Directory

National Provider Directory

Locations

17761 SW 2nd St
Pembroke Pines, FL 33029
Phone (786) 484-0088

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1306232111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17761 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "786-484-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17761 SW 2ND ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330293924",
            "telephone_number": "786-484-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLGA ECHEVERRIA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-08",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "ECHEVERRIA",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "786-484-0088"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME118569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03159340",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010894700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.