Provider Demographics
NPI:1538355854
Name:ECHAVARRIA CANO, MARIA LAURA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:LAURA
Last Name:ECHAVARRIA CANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 ASHBOURNE DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44145-8123
Mailing Address - Country:US
Mailing Address - Phone:216-372-1661
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE # P4703301
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-1250
Practice Address - Country:US
Practice Address - Phone:216-372-1661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH35145542207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program