Provider Demographics
NPI:1003226150
Name:ESCABI, YAMILET (PSYD)
Entity Type:Individual
Prefix:DR
First Name:YAMILET
Middle Name:
Last Name:ESCABI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 AVE HOSTOS STE 213
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-1540
Mailing Address - Country:US
Mailing Address - Phone:787-546-6143
Mailing Address - Fax:
Practice Address - Street 1:740 AVE HOSTOS STE 213
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1540
Practice Address - Country:US
Practice Address - Phone:787-546-6143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-29
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004746103TC0700X
103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical