Individual provider Active NPI

Roberto Velez Echevarria, MD

  • Pediatrics Physician
  • Mayaguez, PR
National Provider Identifier
1386600724
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10391 Issued in PR
Practice address
770 Ave Hostos
Suite 204
Mayaguez, PR 00682-1538
Phone
(787) 834-6161
Fax
(787) 805-3715
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10391 PR Primary

Addresses

Primary practice location

770 Ave Hostos
Suite 204
Mayaguez, PR 00682-1538

Mailing address

PO Box 467
Mayaguez, PR 00681-0467
Phone (787) 344-6637

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200904001161 PR Practitioner - General PracticePractitioner - Pediatric Medicine 8628141819 Practice locations: Mayaguez, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10391PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Care Inc CurrentSince Jun 1, 2008 Accepting new patients
Hospicio Krystal Inc Past Accepting new patients
R E N Enterprises Inc Past Accepting new patients

Organizations & group practices 3

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1386600724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810467",
            "telephone_number": "787-344-6637",
            "fax_number": "787-805-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 AVE HOSTOS",
            "address_2": "SUITE 204",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821538",
            "telephone_number": "787-834-6161",
            "fax_number": "787-805-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ ECHEVARRIA",
        "first_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "10391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.