Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dr. Ignacio Echenique IV

Individual provider Colon & Rectal Surgery Physician · NPI 1588740542

Dr. Ignacio Echenique IV is registered under Colorectal Surgery (Proctology) in San Juan, Puerto Rico. Graduated from University of Puerto Rico School of Medicine in 1979, 47 years ago. Practices with Clinica Las Americas Guaynabo, Inc, a 49-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Puerto Rico.

Years since qualifying
47
Trained at
University of Puerto Rico School of Medicine
Licensed in
PR
In the registry since
2006

Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Hospital Auxilio Mutuo 1200 Ave Ponce De Leon
San Juan, PR 00907-3918 Not confirmed with CMS for 19 years — call before visiting
Phone: (787) 296-0949

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 7477 (PR)

Record details

NPI number1588740542
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 31, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolUNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Group practice Clinica Las Americas Guaynabo, Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Procedures

From CMS Care Compare, which counts the procedures a clinician billed to Original Medicare and Medicare Advantage over a recent 12-month period. CMS reports a fixed list of common procedures, so this is not everything the clinician does. Counts of 10 or fewer are given as a range, because CMS withholds small numbers.

Colonoscopy 360 times · 98th percentile
Removal of skin lesions 1–10 times

The percentile compares how often this clinician performed the procedure with other clinicians who performed it, as CMS calculates it. It measures volume, not outcomes or skill.

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients70
Services billed 193 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Clinica Las Americas Guaynabo, Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 49 clinicians in the practice; 12 are shown here.

Other providers in San Juan