Provider Demographics
NPI:1811959497
Name:ECHEANDIA FUSTER, RAMON FRANCISCO (MD)
Entity type:Individual
Prefix:DR
First Name:RAMON
Middle Name:FRANCISCO
Last Name:ECHEANDIA FUSTER
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 1:443 DORADO BCH E
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-2226
Mailing Address - Country:US
Mailing Address - Phone:787-278-1588
Mailing Address - Fax:787-855-5493
Practice Address - Street 1:CALLE 2 C-29 URB.BRASILIA
Practice Address - Street 2:
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-855-5493
Practice Address - Fax:787-855-5493
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13652208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2-0375Medicare ID - Type Unspecified