Healthcare Provider Details

I. General information

NPI: 1326734807
Provider Name (Legal Business Name): ANTONIO LUIS ESCABI-IGUINA PSY.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1789 CARR 21 STE 412
SAN JUAN PR
00921-3340
US

IV. Provider business mailing address

2050 CARR 8177 APT 1102
GUAYNABO PR
00966-3758
US

V. Phone/Fax

Practice location:
  • Phone: 787-395-7068
  • Fax:
Mailing address:
  • Phone: 787-412-8490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number008142
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: