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NPI Code Detail

MEDICARE: ECO MD LLC

MEDICARE: ECO MD LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1063343085
Entity Type Code : Organization
Provider Name (Legal Business Name) : ECO MD LLC
Provider Business Mailing Address
First Line : 68 CALLE SANTA CRUZ STE 305
Second Line :
City : BAYAMON
State : PR
Zip : 00961-7036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 68 CALLE SANTA CRUZ STE 305
Second Line :
City : BAYAMON
State : PR
Zip : 00961-7036
Country : US
Telephone Number : 787-798-1200
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. ESTEFANIA CRUZVAL O'REILLY
Credential : MD
Telephone Number : 787-300-9994
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ECO MD LLC ” Practice Location

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