Individual provider Active NPI

Iris Margarita Escudero, PH. D.

  • School Psychologist
  • San Juan, PR
National Provider Identifier
1821217043
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PR 946 Issued in PR
Practice address
Carretera PR 21
Bloque U3#11 Urb Las Lomas
San Juan, PR 00921
Phone
(787) 553-5002
Fax
(787) 273-8367
NPI assigned
Apr 25, 2007
Last updated
Jul 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PR 946 PR
Clinical Psychologist 103TC0700X PR 946 PR
Clinical Child & Adolescent Psychologist 103TC2200X PR 946 PR
Forensic Psychologist 103TF0200X PR 946 PR
School Psychologist 103TS0200X PR 946 PR Primary

Addresses

Primary practice location

Carretera PR 21
Bloque U3#11 Urb Las Lomas
San Juan, PR 00921

Mailing address

1718 Calle Yaguez
Rio Piedras Heights
San Juan, PR 00926-3102
Phone (787) 553-5002

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PR 946PRMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1821217043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 CALLE YAGUEZ",
            "address_2": "RIO PIEDRAS HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263102",
            "telephone_number": "787-553-5002",
            "fax_number": "787-273-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA PR 21",
            "address_2": "BLOQUE U3#11 URB LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-553-5002",
            "fax_number": "787-273-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCUDERO",
        "first_name": "IRIS",
        "middle_name": "MARGARITA",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PR",
            "license": "PR 946",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "PR 946",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "PR 946",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "PR",
            "license": "PR 946",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PR",
            "license": "PR 946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.