Provider Demographics
NPI:1417336330
Name:EXPERT INFUSION CENTER LLC
Entity Type:Organization
Organization Name:EXPERT INFUSION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:ECHEANDIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-817-3030
Mailing Address - Street 1:PO BOX 140549
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0549
Mailing Address - Country:US
Mailing Address - Phone:787-817-3030
Mailing Address - Fax:
Practice Address - Street 1:CARR 2 KM 81.2
Practice Address - Street 2:MARECHE GALLERY
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-817-3030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-26
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy