Individual provider Active NPI

Lina Maria Echavarria, M.D

  • Obstetrics & Gynecology Physician
  • Miramar, FL
National Provider Identifier
1376777037
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
11477 Issued in FL
Practice address
1951 SW 172ND Ave Ste 412
Miramar, FL 33029-5614
Phone
(954) 702-4232
Fax
(844) 235-8407
NPI assigned
May 11, 2009
Last updated
May 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 11477 FL Primary

Addresses

Primary practice location

1951 SW 172ND Ave Ste 412
Miramar, FL 33029-5614

Mailing address

1951 SW 172ND Ave Ste 412
Miramar, FL 33029-5614
Phone (954) 702-4232

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lina.echavarria@leml.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20120925000404 FL Practitioner - Obstetrics/Gynecology 2961651567 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11477FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Obstetrics & Gynecology CurrentSince May 7, 2012 Accepting new patients

Locations

4100 Hollywood Blvd
Ste 2
Hollywood, FL 33021
Phone (954) 518-4100

5740 Hollywood Blvd
Ste 200
Hollywood, FL 33021
Phone (954) 518-4100

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

1951 SW 172nd Ave
Ste 201
Miramar, FL 33029
Phone (954) 392-8033

1951 SW 172nd Ave
Ste 405
Miramar, FL 33029
Phone (954) 265-7700

1951 SW 172nd Ave
Ste 412
Miramar, FL 33029
Phone (954) 538-1440

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIAHBD/Endpoint/EIAHBD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1376777037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE STE 412",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295614",
            "telephone_number": "954-702-4232",
            "fax_number": "844-234-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE STE 412",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295614",
            "telephone_number": "954-702-4232",
            "fax_number": "844-235-8407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHAVARRIA",
        "first_name": "LINA",
        "middle_name": "MARIA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "11477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lina.echavarria@leml.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1951 SW 172nd Ave Ste 412",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330295614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miramar, FL

Sources for this page

Verify at the official NPI Registry.