Provider Demographics
NPI:1609837152
Name:ECHEVERRI, ALBERTO (MD,FACS)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:
Last Name:ECHEVERRI
Suffix:
Gender:M
Credentials:MD,FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 GOODYEAR AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:GADSDEN
Mailing Address - State:AL
Mailing Address - Zip Code:35903-1107
Mailing Address - Country:US
Mailing Address - Phone:256-492-0020
Mailing Address - Fax:256-492-0029
Practice Address - Street 1:900 GOODYEAR AVE
Practice Address - Street 2:SUITE B
Practice Address - City:GADSDEN
Practice Address - State:AL
Practice Address - Zip Code:35903-1107
Practice Address - Country:US
Practice Address - Phone:256-492-0020
Practice Address - Fax:256-492-0029
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00021657208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000076949Medicaid
AL051076949OtherBLUE CROSS/BLUE SHIELD
AL529203130OtherMEDCAID
ALC12823OtherRAILROAD MEDICARE
ALD570OtherMEDICARE
ALP00401656OtherRAILROAD MEDICARE
AL529203130OtherMEDCAID
ALC12823OtherRAILROAD MEDICARE