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Individual

DR. JAVIER ENRIQUE ECHEVARRIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
LUIS MUNOZ MARIN AVE #138, COAMO, PR 00769
(787) 803-0105
Mailing address
PARAISO DE COAMO 625 CALLE PAZ, COAMO, PR 00769-9324
(787) 409-9414

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15429
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100788
CRUZ AZUL
PR
01
22792EC
TRIPLE-S (SSS)
PR
01
2812
AMERICAN HEALTH MEDICARE
PR
01
992910
PREFERRED MEDICAL CHOICE
PR
Enumeration date
07/10/2006
Last updated
10/18/2010
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