JORGE LAZARO ESCUDERO – NPI #1205548773
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

JORGE LAZARO ESCUDERO is a physician located in BAYAMON, PR. NPPES has assigned the NPI number 1205548773 to JORGE LAZARO ESCUDERO on December 15, 2022. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Mar 23, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JORGE LAZARO ESCUDERO below.

NPI Profile for
JORGE LAZARO ESCUDERO

NPI Number
1205548773
Enumeration Date

(more than 3 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JORGE LAZARO ESCUDERO
Primary location
300 AVE LAUREL
BAYAMON, PR 00956-3273
Phone: (787) 798-3001 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Mar 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
PR 23992
390200000X
- Student in an Organized Health Care Education/Training Program
PR 23992

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.