Provider Demographics
NPI:1679749097
Name:AGUIRRE ECHEVERRY, LINA EDELMIRA (MD MS)
Entity type:Individual
Prefix:DR
First Name:LINA
Middle Name:EDELMIRA
Last Name:AGUIRRE ECHEVERRY
Suffix:
Gender:F
Credentials:MD MS
Other - Prefix:
Other - First Name:LINA
Other - Middle Name:EDELMIRA
Other - Last Name:AGUIRRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MDMS
Mailing Address - Street 1:215 SPRING CREEK PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87122-2015
Mailing Address - Country:US
Mailing Address - Phone:505-301-0340
Mailing Address - Fax:
Practice Address - Street 1:1501 SAN PEDRO DR SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-5153
Practice Address - Country:US
Practice Address - Phone:505-265-1711
Practice Address - Fax:505-256-2803
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM 2009-0716207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism