Individual provider Active NPI

Eddie Ismael Echevarria, RN

  • Medical-Surgical Registered Nurse
  • Fort Buchanan, PR
National Provider Identifier
1568523256
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
030230 Issued in PR
Practice address
218 Brook St BLDG 21
Rodriguez Army Health Clinic
Fort Buchanan, PR 00934-4206
Phone
(787) 707-2108
Fax
(787) 707-2280
NPI assigned
Dec 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 030230 PR Primary

Addresses

Primary practice location

218 Brook St BLDG 21
Rodriguez Army Health Clinic
Fort Buchanan, PR 00934-4206

Mailing address

Urb Veredas
731 Vereda de Los Cedros
Gurabo, PR 00778
Phone (787) 415-9097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
030230PRMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568523256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB VEREDAS",
            "address_2": "731 VEREDA DE LOS CEDROS",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-415-9097",
            "fax_number": "787-707-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 BROOK ST BLDG 21",
            "address_2": "RODRIGUEZ ARMY HEALTH CLINIC",
            "city": "FORT BUCHANAN",
            "state": "PR",
            "postal_code": "009344206",
            "telephone_number": "787-707-2108",
            "fax_number": "787-707-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA",
        "first_name": "EDDIE",
        "middle_name": "ISMAEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "PR",
            "license": "030230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Buchanan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.