Provider Demographics
NPI:1982221875
Name:ECHEVERRIA, LOURDES FLORIDALMA I (CNA, HHA)
Entity Type:Individual
Prefix:
First Name:LOURDES
Middle Name:FLORIDALMA
Last Name:ECHEVERRIA
Suffix:I
Gender:F
Credentials:CNA, HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 NW 82ND WAY
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33322-3949
Mailing Address - Country:US
Mailing Address - Phone:954-226-8694
Mailing Address - Fax:
Practice Address - Street 1:2920 POINT EAST DR # 408
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33160-5023
Practice Address - Country:US
Practice Address - Phone:954-825-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health