Healthcare Provider Details

I. General information

NPI: 1295677714
Provider Name (Legal Business Name): JUAN IGNACIO ECHAZARRETA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 K ST NE
WASHINGTON DC
20002-4216
US

IV. Provider business mailing address

4705 7TH ST NE
WASHINGTON DC
20017-2330
US

V. Phone/Fax

Practice location:
  • Phone: 202-839-3500
  • Fax:
Mailing address:
  • Phone: 202-977-6127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: