Provider Demographics
NPI:1639124977
Name:ECHEGARAY, PPLUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:PPLUIS
Middle Name:
Last Name:ECHEGARAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:PPLUIS
Other - Middle Name:
Other - Last Name:ECHEGARAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:85 CERVANTES, 6TH FLOOR
Mailing Address - Street 2:THE RESIDENCES AT THE PARK
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907
Mailing Address - Country:US
Mailing Address - Phone:787-396-6668
Mailing Address - Fax:
Practice Address - Street 1:MARAMAR PLAZA 1250
Practice Address - Street 2:101 SAN PATRICIO AVENUE
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-200-4545
Practice Address - Fax:787-200-4547
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR009956225B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225B00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPulmonary Function Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRF25271Medicare UPIN