MEDICARE: DIDIER LAM ECHEVARRIA APRN

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	363LF0000X	Family Nurse Practitioner	11044849	FL

General Provider Information

NPI Number	:	1801533021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIDIER LAM ECHEVARRIA APRN

Provider Business Mailing Address
First Line	:	17 W 34TH ST
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5225
Country	:	US
Telephone Number	:	786-448-7177
Fax Number	:

Provider Business Practice Location Address
First Line	:	4445 W 16TH AVE STE 400
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-7189
Country	:	US
Telephone Number	:	305-558-8687
Fax Number	:	305-558-8097

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

Provider Enumeration Date	:	05/18/2022
Last Update Date	:	02/05/2026

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