Healthcare Provider Details

I. General information

NPI: 1063703171
Provider Name (Legal Business Name): PAULA ANDREA ECHEVERRI PALMA M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2011
Last Update Date: 02/15/2022
Certification Date: 02/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2151 N CONGRESS AVE STE 107
WEST PALM BEACH FL
33407-3299
US

IV. Provider business mailing address

2151 N CONGRESS AVE STE 107
WEST PALM BEACH FL
33407-3299
US

V. Phone/Fax

Practice location:
  • Phone: 561-844-2233
  • Fax: 561-840-9425
Mailing address:
  • Phone: 561-844-2233
  • Fax: 561-840-9425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberE-8810
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: