MEDICARE: LINA MARIA ECHAVARRIA M.D

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
1	207V00000X	Obstetrics & Gynecology Physician	11477	FL

General Provider Information

NPI Number	:	1376777037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINA MARIA ECHAVARRIA M.D

Provider Business Mailing Address
First Line	:	1951 SW 172ND AVE STE 412
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5614
Country	:	US
Telephone Number	:	954-702-4232
Fax Number	:	844-234-8407

Provider Business Practice Location Address
First Line	:	1951 SW 172ND AVE STE 412
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029-5614
Country	:	US
Telephone Number	:	954-702-4232
Fax Number	:	844-235-8407

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2009
Last Update Date	:	05/18/2021

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