Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | 13693 | PR |
NPI | 1053442194 |
---|---|
Provider Name | Maria Elena Echevarria-Escudero |
First Address | Guaynabo, PR 00966-2714 |
Second Address | Santurce, PR 00912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2007 |
Last Update Date | 03/04/2012 |