Active NPI
Miguel Angel Echevarria, MD
- Obstetrics & Gynecology Physician
- Carolina, PR
National Provider Identifier
1396097085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 018785
- Practice address
- Ave. Isla Verde 5347 Cond. Marbella del Caribe Oeste
Suite 1602
Carolina, PR 00979 - Phone
- (787) 553-5823
- NPI assigned
- Oct 5, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 018785 | PR | Primary |
Addresses
Primary practice location
Ave. Isla Verde 5347 Cond. Marbella del Caribe Oeste
Suite 1602
Carolina, PR 00979
Mailing address
Ave. Isla Verde 5347 Cond. Marbella del Caribe Oeste
Suite 1602
Carolina, PR 00979
Phone (787) 553-5823
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018785 | PR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Instituto Medico del Norte Inc | Current | Accepting new patients | |
| Instituto Medico del Norte Inc | Current | Accepting new patients | |
| Centro de Medicina Oncologica de Puerto Rico, CSP | Past | Accepting new patients |
Interoperability endpoints
- miguel.echevarria.p1@direct.vitacare.nextgenshare.com
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.
-
- General Acute Care Hospital
- Vega Baja, PR
- NPI 1154309169
-
- Radiology Clinic/Center
- San Juan, PR
- NPI 1225802606
-
- Hematology & Oncology Physician
- Vega Baja, PR
- NPI 1750872099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1396097085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "AVE. ISLA VERDE 5347 COND. MARBELLA DEL CARIBE OESTE",
"address_2": "SUITE 1602",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00979",
"telephone_number": "787-553-5823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. ISLA VERDE 5347 COND. MARBELLA DEL CARIBE OESTE",
"address_2": "SUITE 1602",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00979",
"telephone_number": "787-553-5823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHEVARRIA",
"first_name": "MIGUEL",
"middle_name": "ANGEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-05",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "018785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.