MEDICARE: ANTONIO LUIS ESCABI-IGUINA PSY.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	103TC0700X	Clinical Psychologist	008142	PR

General Provider Information

NPI Number	:	1326734807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONIO LUIS ESCABI-IGUINA PSY.D

Provider Business Mailing Address
First Line	:	2050 CARR 8177 APT 1102
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00966-3758
Country	:	US
Telephone Number	:	787-412-8490
Fax Number	:

Provider Business Practice Location Address
First Line	:	1789 CARR 21 STE 412
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-3340
Country	:	US
Telephone Number	:	787-395-7068
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2023
Last Update Date	:	07/09/2025

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