MEDICARE: LOURDES M PELAEZ-ECHEVARRIA DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	02006157A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538128723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOURDES M PELAEZ-ECHEVARRIA DO

Provider Business Mailing Address
First Line	:	2995 DREW ST FL 2
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-3012
Country	:	US
Telephone Number	:	727-532-0002
Fax Number	:

Provider Business Practice Location Address
First Line	:	6633 FOREST AVE STE 205
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34653-2612
Country	:	US
Telephone Number	:	727-375-2849
Fax Number	:	727-266-4915

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	03/02/2026

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Directions to “ LOURDES M PELAEZ-ECHEVARRIA DO” Practice Location

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