Individual
JORGE LAZARO ESCUDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 AVE LAUREL, BAYAMON, PR 00956-3273
(787) 798-3001
Mailing address
300 AVE LAUREL, BAYAMON, PR 00956-3273
(787) 798-3001
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
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
03/23/2026
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