Healthcare Provider Details

I. General information

NPI: 1639124977
Provider Name (Legal Business Name): PPLUIS ECHEGARAY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PPLUIS ECHEGARAY M.D.

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 03/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARAMAR PLAZA 1250 101 SAN PATRICIO AVENUE
GUAYNABO PR
00968
US

IV. Provider business mailing address

85 CERVANTES, 6TH FLOOR THE RESIDENCES AT THE PARK
SAN JUAN PR
00907
US

V. Phone/Fax

Practice location:
  • Phone: 787-200-4545
  • Fax: 787-200-4547
Mailing address:
  • Phone: 787-396-6668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225B00000X
TaxonomyPulmonary Function Technologist
License Number009956
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: