Fernando Echeandia Fuster, M.D.
Individual provider Active NPI Family Medicine Physician · Lares, PR
NPI 1306949342 · NPPES record last updated May 11, 2020
Key facts
- NPI
- 1306949342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11273 (PR)
- Practice address
- Carr 111 KM 4.2
Lares
Lares, PR 00669 - Phone
- (787) 897-5683
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Carr 111 KM
Suite 5
Lares, PR 00669-1792
Phone (787) 897-5683
PO Box
Suite 1792
Lares, PR 00669-1792
Hospital & facility affiliations
- Emmanuel Hospice Care Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130611000204 | PR | Practitioner - Family Practice |
9436398104 | Practice locations: Lares, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11273 | PR | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11273 | PR | Yes |
Addresses
Primary practice location
Carr 111 KM 4.2
Lares
Lares, PR 00669
Mailing address
PO Box 1792
Lares, PR 00669-1792
Phone (787) 897-5683
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1077 | Other | PR | PREFERRED MEDICARE CHOISE |
| 83632 | Other | PR | 83632 |
| 100160W | Other | PR | MMM |
| 7059 | Other | PR | INTERNATIONAL MEDICAL CAR |
| 3377-5 | Other | PR | ASOCIACION DE MAESTROS |
Other providers in Lares, PR
- Nilsa Teresa Cuevas
- Dba Irrizarry Medical Transport
- Nicole De Pablo
- Doctors Clinic LLC
- Nancy Ivette Duran Ruiz
- Ramon Francisco Echeandia
- Angel R Egozcue
- Elderly Multidisciplinary Services Corp
- Emmanuel Hospice Care, Incorporado
- Enid Haydee Acevedo Quinones
All providers in Lares, PR · Family Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.