Dr. LOURDES M PELAEZ-ECHEVARRIA, MD Medical Malpractice Cases, Lawsuits, and Complaints

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Phycicians Practice Address

Dr. LOURDES M PELAEZ-ECHEVARRIA, MD

7400 N. Kendall Drive, #403

Miami, FL

33156

Dade

Court Case # 2012-CA-004609

Indemnity Paid: $250,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201575267
Claim Number :	45369
Date Submitted :	7/20/2015

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	LOURDES		M	PELAEZ-ECHEVARRIA
Insurer Type		Street Address of Practice
Licensed		130 Pablo St.
City		State	Zip Code	County
Lakeland		FL	33803	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1600264 14		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
OS7873		Surgery - General

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Polk
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
Lakeland Regional Medical Center		100157
Location of Institutional Injury		Other Location of Institutional Injury
Patients' Room
Date of Occurrence		Date Reported to Insurer
5/15/2011		7/9/2013

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Biliary pancreatitis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
No iatrogenic injury
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to treat pancreatitis
Principal Injury Giving Rise To The Claim
MI
Severity Of Injury
Permanent: Death.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
10/30/2013			2012-CA-004609
County Suit Filed in			Date of Final Disposition
Polk			7/8/2015
Other Defendants Involved in this Claim
Clark & Daughtrey Lakeland Regional Medical Center
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/8/2015

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$250,000

Loss Adjust Expense Paid to Defense Counsel

$36,908

All Other Loss Adjustment Expense Paid

$1,728

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$0	$0
Wage Loss	$0	$0
Other Expenses	$0	$100,000

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

Updates

No updates found.

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Court Case #

Indemnity Paid: $225,000.00

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Department File Number :	M201782639
Claim Number :	60615
Date Submitted :	7/21/2017

Insurer Information

Insurer Name				Coverage Type
MAG MUTUAL INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
58-1449198
Insurer Contact Information
Type		Entity Name
Entity		MAG MUTUAL INSURANCE COMPANY
Street Address
8427 South Park Circle Suite 130
City				State	Zip
Orlando				FL	32819
Phone	Ext	Fax	E-Mail Address
(407) 370 - 3813		(407) 370 - 2247	ctschanz@magmutual.com

Insured Information

Type	First Name		MI	Last Name
Individual	Lourdes			Pelaez-Echevarria
Insurer Type		Street Address of Practice
Licensed		PO Box 95448
City		State	Zip Code	County
Lakeland		FL	33804	Polk
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
PSL 1600264 17		$1,000,000		$3,000,000
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
OS7873		Surgery - General

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			F	Polk
City			State	Zip Code

Location where injury occured		Other location where injury occured
Hospital Inpatient Facility
Name of Institution		Code
Lakeland Regional Medical Center		100157
Location of Institutional Injury		Other Location of Institutional Injury
Operating Suite
Date of Occurrence		Date Reported to Insurer
5/14/2015		1/17/2017

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Breast cancer
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Bilateral mastectomy
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
Alleged failure to remove cancerous tissue
Principal Injury Giving Rise To The Claim
Additional surgery, chemotherapy, and radiation
Severity Of Injury
Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed.

Florida Office of Insurance Regulation
Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
			*NR
County Suit Filed in			Date of Final Disposition
*NR			7/5/2017
Other Defendants Involved in this Claim

Stage of Legal System at which Settlement was Reached or Award Made
Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed).
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
7/5/2017

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$225,000

Loss Adjust Expense Paid to Defense Counsel

$11,558

All Other Loss Adjustment Expense Paid

$5,971

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$29,000	$0
Wage Loss	$0	$0
Other Expenses	$0	$0

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

Risk management has counseled insured

Updates

No updates found.

*NR: Prior to 04/28/1999 this field was not required in submitted claims.

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Court Case # 02-22293 CA 08

Indemnity Paid: $17,500.00

Medical Malpractice Closed Claims Report

Department File Number :	M200534543
Claim Number :	56759
Date Submitted :	3/28/2005

Insurer Information

Insurer Name				Coverage Type
AMERICAN EQUITY INSURANCE COMPANY				Primary
Insurer FEIN		Professional License Number
86-0703220
Insurer Contact Information
Type	First Name		MI	Last Name
Individual	Patrice		A	Kane
Street Address
3230 West Commercial Blvd., #390
City				State	Zip
Ft. Lauderdale				FL	33309
Phone	Ext	Fax	E-Mail Address
(954) 677 - 3324	3324	(954) 735 - 9028	Pat.Kane@stpaul.com

Insured Information

Type	First Name		MI	Last Name
Individual	LOURDES			PELAEZ-ECHEVARRIA
Insurer Type		Street Address of Practice
Licensed		7400 N. Kendall Drive, #403
City		State	Zip Code	County
Miami		FL	33156	Dade
Policy Number		Per Claim Policy Limits		Aggregate Policy Limits
MFP000019456759		$250,000		$1
Profession or Business			Other Profession or Business
Medical Doctor
License Number		Specialty Code & Classification		Certification Number
OS7873		Surgery - General		01

Medical Malpractice Closed Claims Report

Injured Person Information

First Name	MI	Last Name		Date of Birth

Street Address			Gender	County where Injury Occurred
			M	Dade
City			State	Zip Code

Location where injury occured		Other location where injury occured
Other Location		After discharge from hospital
Name of Institution		Code
PALMETTO GENERAL HOSPITAL		100187
Location of Institutional Injury		Other Location of Institutional Injury
Other		After discharge from hospital
Date of Occurrence		Date Reported to Insurer
12/9/2000		4/23/2002

Diagnostic Information

Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition
Pancrititis
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury
Endoscopic RetrogradeCholangiopancreatographyERCP
Diagnostic Code :
Misdiagnosis Made, If Any, Of Patient's Actual Condition
None, patient was instructed to return to hospital for post-op changes and did not.
Principal Injury Giving Rise To The Claim
Pancrititis
Severity Of Injury
Permanent: Death.

Medical Malpractice Closed Claims Report

Legal Information

Date of Suit			Circuit Court Case Number
9/30/2002			02-22293 CA 08
County Suit Filed in			Date of Final Disposition
Dade			2/15/2005
Other Defendants Involved in this Claim
Campos, MD, Jaime Gonzalves, MD, Geraldo Rodriguez, DO, Sergio Sergio Max Rodriguez, DO, PA Rodriguez, DO, Sergio Max Perez, MD, Javier Javier Perez, MD, PA Estevez Lamas & Fleits Surgical Assoc., PA Lamas, MD, Jose R Livemark Hospitals of Fla. d/b/a Palmetto Gen. Hosp.
Stage of Legal System at which Settlement was Reached or Award Made
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference.
Final Method of Claim Disposition
Settled by parties
Court Decision			Other
No Court Proceedings.
Arbitration
Claim not subject to Arbitration.
Date of Payment
2/15/2005

Financial Information

Was there a settlement Resulting in payment to the Plaintiff?

Yes

Indemnity Paid by Insurer on behalf of Insured

$17,500

Loss Adjust Expense Paid to Defense Counsel

$40,000

All Other Loss Adjustment Expense Paid

Injured Person's Total Non-Economic Loss

Deductible

Injured Person's Total Economic Loss

	Incurred to Date	Anticipated
Medical Expense	$432,419	$0
Wage Loss	$0	$25,000
Other Expenses	$0	$6,000

Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely

None known

Updates

Date of Change:

3/28/2005 3:40:04 PM

Reason for Change:

Diagnostic Information - ERCP was not accepted.Wanted a more specific explanation.

Field Changed	Former Value	New Value
Cause of Injury	ERCP	Endoscopic RetrogradeCholangiopancreatographyERCP

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Frequently Asked Questions

Does Dr. LOURDES M PELAEZ-ECHEVARRIA, MD have any medical malpractice cases, lawsuits, or complaints?

Dr. LOURDES M PELAEZ-ECHEVARRIA, MD has at least 3 medical malpractice case(s), lawsuit(s), or complaint(s).

Medical Malpractice Cases