Individual provider Active NPI

Miguel Alejandro Echevarria Quintana

  • Internal Medicine Physician
  • Ponce, PR
National Provider Identifier
1568898120
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19337 Issued in PR
Practice address
917 Ave Tito Castro
Ponce, PR 00716-4717
Phone
(787) 844-2080
NPI assigned
Sep 16, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19337 PR Primary

Addresses

Primary practice location

917 Ave Tito Castro
Ponce, PR 00716-4717

Mailing address

310 Ave. de Diego Plaza #5D
San Juan, PR 00909-1712
Phone (787) 553-5826

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
I20170316000470 PR Practitioner - Internal Medicine 1951686880 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RJBV Internal Medicine PSCGroup PAC ID 9032245295, 4 clinicians

Practice addresses (Care Compare)

8131 Calle Concordia
Suite 101
Ponce, PR 00717-1543
Phone (787) 842-5315

Hospital & facility affiliations

  • Programa de Servicios de Salud En El Hogar Y Hospicio San Lucas Inc Home health agency, Ponce, PR, CCN 407002
  • Hospital Episcopal San Lucas II Hospital, Ponce, PR, CCN 400044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19337PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RJBV Internal Medicine, PSC CurrentSince Apr 10, 2017 Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Locations

8131 Calle Concordia
Ste 101
Ponce, PR 00717
Phone (787) 842-5315

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1568898120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 AVE. DE DIEGO PLAZA #5D",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091712",
            "telephone_number": "787-553-5826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 AVE TITO CASTRO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164717",
            "telephone_number": "787-844-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA QUINTANA",
        "first_name": "MIGUEL",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.