Individual
AILIC MACIAS ECHAZABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
217 SE 22ND TER, CAPE CORAL, FL 33990-4344
(305) 834-6978
Mailing address
217 SE 22ND TER, CAPE CORAL, FL 33990-4344
(305) 834-6978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9659221
FL
171M00000X
Case Manager/Care Coordinator
—
FL
Other
Enumeration date
08/30/2019
Last updated
09/23/2025
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