Healthcare Provider Details

I. General information

NPI: 1689995771
Provider Name (Legal Business Name): GERMAN ECHEVERRY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2010
Last Update Date: 04/17/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 ALTON RD
MIAMI BEACH FL
33140-2948
US

IV. Provider business mailing address

PO BOX 816759
HOLLYWOOD FL
33081-0759
US

V. Phone/Fax

Practice location:
  • Phone: 305-674-2387
  • Fax:
Mailing address:
  • Phone: 305-674-1233
  • Fax: 954-964-6084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number279563
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number0101271950
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberME138578
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: