MR. JOSE ELMO BACCAY ECO NP-C NPI 1083154694

NPI Information

  • NPI: 1083154694
  • Provider Name: MR. JOSE ELMO BACCAY ECO, NP-C
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3505 NW 84TH AVE
    SUNRISE, FL
    ZIP 33351
  • Phone: (954) 748-3039

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NPI Details

MR. Jose Elmo Baccay Eco, NP-C is a gerontology nurse practitioner in Sunrise, FL. MR. Jose Elmo Baccay Eco, NP-C NPI is 1083154694. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3505 NW 84TH AVE
SUNRISE, FL
ZIP 33351-607
Phone: (954) 748-3039

The NPI 1083154694 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/1/2017 and was last updated on 3/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyARNP3110802FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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