Georgshua Louis Echevarria, PHYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6351 Issued in PR

Practice address

479 Calle Antolin Nin
San Juan, PR 00918-2863

Phone

(787) 546-7020

NPI assigned

Dec 19, 2019

Last updated

Dec 19, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1558909689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006051280",
            "telephone_number": "787-546-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 CALLE ANTOLIN NIN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182863",
            "telephone_number": "787-546-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA",
        "first_name": "GEORGSHUA",
        "middle_name": "LOUIS",
        "credential": "PHYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "6351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel M Echenique, M.D.
• Jerry Michail Echevarria Mendez, M.D.
• Gerardo Jose Echevarria-Batista, M.D.
• Rene Ramon Echevarria-Cofino, M.D.
• Edgar Echevarria-Stuart, DMD
• Irma N Echevarria, PHARMD
• Jonathan Echevarria, PSY.D.
• Maria Angelica Echevarria, PSY.D
• Miguel Gabriel Echevarria, M.D.
• Zuleika Y. Echevarria, MSW

• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.