Echevarria Medical Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

15429 Issued in PR

Legal business name

ECHEVARRIA MEDICAL SERVICES

Practice address

41 Calle Baldorioty
Coamo, PR 00769-3122

Phone

(787) 210-8752

Fax

(939) 697-6259

NPI assigned

Apr 8, 2018

Last updated

Apr 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katherine Rivera, DPTNPI 1275879033

Title

Administrator

Phone

(787) 210-8752

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Javier Enrique Echevarria, M.D.

  • General Practice Physician
  • Coamo, PR
  • NPI 1205860723
  Medicare reassignment
• Katherine Rivera, P.T.

  • Physical Therapist
  • Coamo, PR
  • NPI 1275879033
  NPD (past) Authorized official

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523145600000",
    "number": "1427555358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CALLE PAZ",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699324",
            "telephone_number": "787-210-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 CALLE BALDORIOTY",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007693122",
            "telephone_number": "787-210-8752",
            "fax_number": "939-697-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHEVARRIA MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-08",
        "last_updated": "2018-04-08",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-210-8752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "15429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xavier Delgado-Lopez, MD
• Delta Emergency Medical Corp
• Arleen Diaz, S.W.
• Henry Diaz, M.D.
• Dra. Judibelle Rivera de Jesus MD, PSC
• Javier Enrique Echevarria, M.D.
• Endo Afc LLC
• Equipos Medicos del Caribe Inc
• Leticia Espada, PT
• Marta M Espada

• Primary Care Clinic/Center in Coamo, PR
• Providers in Coamo, PR by specialty
• Primary Care Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.