Organization Active NPI

Mabel Z Echeandia

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1659779486
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME67229 Issued in FL
Legal business name
MABEL Z ECHEANDIA
Practice address
3333 W Waters Ave
Tampa, FL 33614-2758
Phone
(813) 960-6066
Fax
(813) 930-2053
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Mrs. Sadith Dietz
Title
Account Manager
Phone
(813) 890-8004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X ME67229 FL Primary

Addresses

Primary practice location

3333 W Waters Ave
Tampa, FL 33614-2758

Mailing address

3333 W Waters Ave
Tampa, FL 33614-2758
Phone (813) 930-6066

Other identifiers 1

IdentifierTypeStateIssuer
005SJOtherFLFLORIDA BLUE

Other names 1

  • mabel echeandia Doing business as

National Provider Directory

National Provider Directory

Locations

3333 W Waters Ave
Tampa, FL 33614
Phone (813) 932-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1659779486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142758",
            "telephone_number": "813-930-6066",
            "fax_number": "813-930-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336142758",
            "telephone_number": "813-960-6066",
            "fax_number": "813-930-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MABEL Z ECHEANDIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "SADITH",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "813-890-8004",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME67229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "005SJ",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mabel echeandia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.