Healthcare Provider Details

I. General information

NPI: 1811331291
Provider Name (Legal Business Name): SATURNINO ECHEVERRIA APRN, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2013
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date: 06/07/2023
Reactivation Date: 07/09/2024

III. Provider practice location address

2910 MAGUIRE RD STE 2002
OCOEE FL
34761-4742
US

IV. Provider business mailing address

2910 MAGUIRE RD STE 2002
OCOEE FL
34761-4742
US

V. Phone/Fax

Practice location:
  • Phone: 407-287-1664
  • Fax: 407-287-1675
Mailing address:
  • Phone: 407-287-1664
  • Fax: 407-287-1675

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11033350
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11033350
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: