Individual provider Active NPI

Ileana Echevarria Martinez, M.D.

  • General Practice Physician
  • Penuelas, PR
National Provider Identifier
1780682385
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15413 Issued in PR
Practice address
Plaza Penuelas B30
PR-385 KM. 0.7
Penuelas, PR 00624-7505
Phone
(787) 836-6670
NPI assigned
Jul 8, 2005
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 15413 PR Primary

Addresses

Primary practice location

Plaza Penuelas B30
PR-385 KM. 0.7
Penuelas, PR 00624-7505

Mailing address

PO Box 999
Penuelas, PR 00624-0999
Phone (787) 836-6670

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
I20041108000046 PR Practitioner - General Practice 9931162344 Reassigns benefits to 2 organizations
Practice locations: Penuelas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15413PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Anesthesia Associates LLC Current Accepting new patients
Hospital Menonita Ponce Inc General Practice CurrentSince Jan 12, 2026 Accepting new patients
Hospital Damas Inc CurrentSince May 28, 2014 Accepting new patients
Policlinica del Carmen General Practice Past Accepting new patients
Artemisa Medical Aesthetic LLC General Practice Past Accepting new patients

Locations

2213 Ponce Byp
Ponce, PR 00717
Phone (787) 368-7802

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1780682385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006240999",
            "telephone_number": "787-836-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA PENUELAS B30",
            "address_2": "PR-385 KM. 0.7",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006247505",
            "telephone_number": "787-836-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEVARRIA MARTINEZ",
        "first_name": "ILEANA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penuelas, PR

Sources for this page

Verify at the official NPI Registry.