Individual provider Active NPI

Maria S Zamora Echevarria

  • Specialist
  • Canovanas, PR
National Provider Identifier
1932160090
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10299 Issued in PR
Practice address
83 Calle Betances
Villa Carolina
Canovanas, PR 00729-3241
Phone
(787) 886-1311
NPI assigned
Mar 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10299 PR Primary

Addresses

Primary practice location

83 Calle Betances
Villa Carolina
Canovanas, PR 00729-3241

Mailing address

PO Box 190825
San Juan, PR 00919-0825
Phone (787) 886-1311

Other names 1

  • Maria De la Soledad Zamora Echevarria Other name

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
I20110907001462 PR Practitioner - Physical Medicine and Rehabilitation 0446420129 Practice locations: Canovanas, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

83 Calle Betances
Canovanas, PR 00729

83 Calle Betances
Canovanas, PR 00729-3241
Phone (787) 886-1311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10299PRMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
RS Therapy Group, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1932160090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190825",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190825",
            "telephone_number": "787-886-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CALLE BETANCES",
            "address_2": "VILLA CAROLINA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007293241",
            "telephone_number": "787-886-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA ECHEVARRIA",
        "first_name": "MARIA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "10299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "ZAMORA ECHEVARRIA",
            "middle_name": "DE LA SOLEDAD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.