Healthcare Provider Details

I. General information

NPI: 1831957836
Provider Name (Legal Business Name): VEINS AND VASCULAR CENTERS OF EXCELLENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2024
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1842 E BASELINE RD STE B1
TEMPE AZ
85283-1514
US

IV. Provider business mailing address

1842 E BASELINE RD STE B1
TEMPE AZ
85283-1514
US

V. Phone/Fax

Practice location:
  • Phone: 480-860-7310
  • Fax: 888-440-6341
Mailing address:
  • Phone: 480-860-7310
  • Fax: 888-440-6341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CARLOS ECHEVARRIA
Title or Position: CEO
Credential: MD
Phone: 310-722-9094