Provider Demographics
NPI:1275567786
Name:ECHANDI, MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:
Last Name:ECHANDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WESTERNBANK PLAZA, SUITE 700
Mailing Address - Street 2:268 MUNOZ RIVERA AVE.
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1927
Mailing Address - Country:US
Mailing Address - Phone:787-474-1044
Mailing Address - Fax:787-474-1032
Practice Address - Street 1:268 AVE MUNOZ RIVERA
Practice Address - Street 2:WESTERNBANK PLAZA, SUITE 700
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1913
Practice Address - Country:US
Practice Address - Phone:787-474-1044
Practice Address - Fax:787-474-1032
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13880207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine