Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 21211 | PR |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 284074 | NY |
NPI | 1083855696 |
---|---|
Provider Name | Dr. Jose J Echenique Arana |
First Address | San Juan, PR 00917-5023 |
Second Address | San Juan, PR 00917-5023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/03/2009 |
Last Update Date | 12/09/2019 |