Healthcare Provider Details

I. General information

NPI: 1528031036
Provider Name (Legal Business Name): ERIC S ESCRIBANO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 CALLE WASHINGTON SUITE 102
SAN JUAN PR
00907-1510
US

IV. Provider business mailing address

PO BOX 366665
SAN JUAN PR
00936-6665
US

V. Phone/Fax

Practice location:
  • Phone: 787-272-1558
  • Fax: 787-720-9281
Mailing address:
  • Phone: 787-272-1558
  • Fax: 787-720-9281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number10043
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: