Active NPI
Iris Margarita Escudero, PH. D.
- School Psychologist
- San Juan, PR
National Provider Identifier
1821217043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- PR 946
- 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, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PR 946 | PR | MD | Clinical 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.