Individual provider Active NPI

Maria A Garcia-Echevarria, PHD

  • Clinical Psychologist
  • Aibonito, PR
National Provider Identifier
1679755268
Registry record updated Dec 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3329 Issued in PR
Practice address
103 Calle Degetau S Ste 1
Aibonito, PR 00705-3621
Phone
(939) 296-9046
Fax
(939) 296-9047
NPI assigned
Dec 5, 2007
Last updated
Dec 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3329 PR Primary

Addresses

Primary practice location

103 Calle Degetau S Ste 1
Aibonito, PR 00705-3621

Mailing address

103 Calle Degetau S Ste 1
Aibonito, PR 00705-3621
Phone (787) 735-6320

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523001194 PR Practitioner - Clinical Psychologist 4486943917 Practice locations: Aibonito, PR; Caguas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3329PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703289600000",
    "number": "1679755268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CALLE DEGETAU S STE 1",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053621",
            "telephone_number": "787-735-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CALLE DEGETAU S STE 1",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053621",
            "telephone_number": "939-296-9046",
            "fax_number": "939-296-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-ECHEVARRIA",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2023-12-23",
        "certification_date": "2023-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "3329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aibonito, PR

Sources for this page

Verify at the official NPI Registry.