Provider Demographics
NPI:1134333008
Name:ECHEVERRIA, RAFAEL JAVIER (MD)
Entity type:Individual
Prefix:
First Name:RAFAEL
Middle Name:JAVIER
Last Name:ECHEVERRIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:#B22 CALLE B
Mailing Address - Street 2:URB. GARCIA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5123
Mailing Address - Country:US
Mailing Address - Phone:787-638-7555
Mailing Address - Fax:787-751-2591
Practice Address - Street 1:#201 DE DIEGO AVE.
Practice Address - Street 2:PLAZA SAN FRANCISCO, SUITE 161
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-638-7555
Practice Address - Fax:787-751-2591
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR135092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry