Provider Demographics
NPI:1265633796
Name:ESCABI, LUIS ANTONIO SR (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:ANTONIO
Last Name:ESCABI
Suffix:SR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EDIFICIO MEDICO HERMANAS DAVILA
Mailing Address - Street 2:SUITE 208 URBANIZACION HERMANAS DAVILA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-780-6868
Mailing Address - Fax:787-780-6868
Practice Address - Street 1:EDIFICIO MEDICO HERMANAS DAVILA
Practice Address - Street 2:SUITE 208 URBANIZACION HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-780-6868
Practice Address - Fax:787-780-6868
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4074103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)