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Individual
JORGE LAZARO ESCUDERO
Active
Individual
JORGE LAZARO ESCUDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23992
PR
208D00000X
General Practice Physician
23992
PR
390200000X
Student in an Organized Health Care Education/Training Program
23992
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
08/10/2026
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