Provider Demographics
NPI:1053442194
Name:ECHEVARRIA-ESCUDERO, MARIA ELENA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:ECHEVARRIA-ESCUDERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1261 AVE LUIS VIGOREAUX
Mailing Address - Street 2:APT. # 8B
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2714
Mailing Address - Country:US
Mailing Address - Phone:787-963-1751
Mailing Address - Fax:
Practice Address - Street 1:252 SAN JORGE ST
Practice Address - Street 2:SUITE 504
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:787-728-1575
Practice Address - Fax:787-726-0402
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2012-04-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR136932080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology