Provider Demographics
NPI:1376777037
Name:ECHAVARRIA, LINA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:LINA
Middle Name:MARIA
Last Name:ECHAVARRIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1951 SW 172ND AVE STE 412
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029-5614
Mailing Address - Country:US
Mailing Address - Phone:954-702-4232
Mailing Address - Fax:844-234-8407
Practice Address - Street 1:1951 SW 172ND AVE STE 412
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029-5614
Practice Address - Country:US
Practice Address - Phone:954-702-4232
Practice Address - Fax:844-235-8407
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11477207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology