Provider Demographics
NPI:1154607778
Name:ECHEGARAY, ANA DEL CARMEN (RPT)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:DEL CARMEN
Last Name:ECHEGARAY
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 143082
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-3082
Mailing Address - Country:US
Mailing Address - Phone:787-387-6777
Mailing Address - Fax:
Practice Address - Street 1:O11 CALLE LIRIO
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-3329
Practice Address - Country:US
Practice Address - Phone:787-387-6777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-27
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR925225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist