Provider Demographics
NPI:1346292448
Name:ROBERTO ECHARRI MD PA
Entity Type:Organization
Organization Name:ROBERTO ECHARRI MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHARRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-621-9333
Mailing Address - Street 1:2000 SW 27TH AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2546
Mailing Address - Country:US
Mailing Address - Phone:786-621-9333
Mailing Address - Fax:786-621-9334
Practice Address - Street 1:2000 SW 27TH AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2546
Practice Address - Country:US
Practice Address - Phone:786-621-9333
Practice Address - Fax:786-621-9334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84825207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265051700Medicaid
FL265051701Medicaid
FL265051700Medicaid
FLE7832Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER #
FLE7832AMedicare ID - Type UnspecifiedGROUP PROVIDER #