Healthcare Provider Details

I. General information

NPI: 1730270984
Provider Name (Legal Business Name): NANCY ECHEVARRIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PASEO DEL VETERANO 1010 PONCE VA OUTPATIENT CLINIC
PONCE PR
00716-2001
US

IV. Provider business mailing address

PASEO DEL VETERANO 1010 PONCE VA OUTPATIENT CLINIC
PONCE PR
00716-2001
US

V. Phone/Fax

Practice location:
  • Phone: 787-812-3030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: