Basic Information
Provider Information
NPI: 1285396036
EntityType: 2
ReplacementNPI:  
OrganizationName: NATALIA ECHEVERRI M.D. LLC
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Mailing Information
Address1: 3560 STEWART AVE
Address2:  
City: MIAMI
State: FL
PostalCode: 331336829
CountryCode: US
TelephoneNumber: 7863065496
FaxNumber:  
Practice Location
Address1: 9333 SW 152ND ST
Address2:  
City: PALMETTO BAY
State: FL
PostalCode: 331571778
CountryCode: US
TelephoneNumber: 3052512500
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/08/2021
LastUpdateDate: 10/18/2021
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AuthorizedOfficialLastName: ECHEVERRI-BOTERO
AuthorizedOfficialFirstName: NATALIA
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AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 7863065496
IsSoleProprietor:  
IsOrganizationSubpart: N
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AuthorizedOfficialCredential: MD
NPICertificationDate: 10/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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