Individual provider Active NPI

Manuel A Echaverry, RN

  • Registered Nurse
  • Miami, FL
National Provider Identifier
1861059198
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
9508340 Issued in FL
Practice address
1350 NW 14TH St
Miami, FL 33125-1609
Phone
(305) 575-3800
Fax
(305) 470-5846
NPI assigned
May 22, 2019
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9508340 FL Primary

Addresses

Primary practice location

1350 NW 14TH St
Miami, FL 33125-1609

Mailing address

3240 W 70TH St Unit 120
Hialeah Gardens, FL 33018-7108
Phone (786) 493-0868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
9508340FLMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1861059198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 W 70TH ST UNIT 120",
            "city": "HIALEAH GARDENS",
            "state": "FL",
            "postal_code": "330187108",
            "telephone_number": "786-493-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 NW 14TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251609",
            "telephone_number": "305-575-3800",
            "fax_number": "305-470-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHAVERRY",
        "first_name": "MANUEL",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9508340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.