Carmelo Alfonzo Echeverria, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34090 Issued in AZ

Practice address

1852 N Mastick Way
Nogales, AZ 85621-1063

Phone

(520) 761-2133

Fax

(520) 281-1112

NPI assigned

Mar 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mariposa Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Nogales, AZ
  • NPI 1417985474

  Family Medicine

  NPD
• Hope Family Clinic Inc

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1891922605
  NPD (past)
• Mariposa Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Tubac, AZ
  • NPI 1578922787

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669449187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1852 N MASTICK WAY",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211063",
            "telephone_number": "520-761-2133",
            "fax_number": "520-761-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 N MASTICK WAY",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856211063",
            "telephone_number": "520-761-2133",
            "fax_number": "520-281-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVERRIA",
        "first_name": "CARMELO",
        "middle_name": "ALFONZO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OK",
            "license": "29834",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "34090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "937617",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jose I Duran, MD
• Enrique Ernest Durazo, PHARMD
• Paula Jean Durst, DO
• Dva Renal Healthcare Inc
• Easter Seals Blake Foundation
• Margarita N Elias, LCSW
• Anna Gloria Felix, NURSE
• Sloane Fitzgerald, RN, PMHNP, BC
• Cynthia M Flores Ybarra, NP
• Ignacio Flores, RDH

• Family Medicine Physician in Nogales, AZ
• Providers in Nogales, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.