Healthcare Provider Details

I. General information

NPI: 1740216639
Provider Name (Legal Business Name): JOSE ESCABI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 ST. CASIA CARIBBEAN VA HEALTHCARE SYSTEM
SAN JUAN PR
00921-3200
US

IV. Provider business mailing address

600 BLVD LOS ARBOLES URB. LOS ARBOLES DE MONTEHIEDRA, 431
SAN JUAN PR
00926-7106
US

V. Phone/Fax

Practice location:
  • Phone: 787-641-7582
  • Fax: 787-641-9392
Mailing address:
  • Phone: 787-641-7582
  • Fax: 787-641-9392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number12778
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: