Active NPI
Jorge Lazaro Escudero
- Internal Medicine Physician
- Bayamon, PR
National Provider Identifier
1205548773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23992
- Practice address
- 300 Ave Laurel
Bayamon, PR 00956-3273 - Phone
- (787) 798-3001
- NPI assigned
- Dec 15, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 23992 | PR | |
| General Practice Physician | 208D00000X | 23992 | PR | |
| Internal Medicine Physician | 207R00000X | 23992 | PR | Primary |
Addresses
Primary practice location
300 Ave Laurel
Bayamon, PR 00956-3273
Mailing address
300 Ave Laurel
Bayamon, PR 00956-3273
Phone (787) 798-3001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23992 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1205548773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 AVE LAUREL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009563273",
"telephone_number": "787-798-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 AVE LAUREL",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009563273",
"telephone_number": "787-798-3001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAZARO ESCUDERO",
"first_name": "JORGE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-15",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PR",
"license": "23992",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23992",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "23992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
- Graciela Latalladi Ortega, M.D
- Roberto Enrique Latimer Arsuaga, O.D.
- Carlos A Latimer, MD FACP FACG
- Camille Sofia Latoni Guillermety, MS SLP
- Maria del Carmen Laureano Navarro, RN
- Carmen Mabel Lebron Gonzalez, MD
- Sergio A Lebron Lisboa, M.D.
- Rebecca Nicohl Lebron
- Maria Antonia Lecumberry, M.D.
- Isseline Ledesma Rivera
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.