Provider Demographics
NPI:1932153608
Name:ECHARRI, ROBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:
Last Name:ECHARRI
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 1:2000 SW 27TH AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2546
Mailing Address - Country:US
Mailing Address - Phone:786-621-9333
Mailing Address - Fax:786-621-9334
Practice Address - Street 1:2000 SW 27TH AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2546
Practice Address - Country:US
Practice Address - Phone:786-621-9333
Practice Address - Fax:786-621-9334
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME84825207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL265051700Medicaid
FLE7832Medicare ID - Type UnspecifiedINDIVIDUAL PROVIDER #
FL265051700Medicaid