Individual provider Active NPI

Jose Ariel Badillo Hernandez, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1093025884
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18051 Issued in PR
Practice address
Carr # 2 KM 124.7
Edificio Punto Oro Suite 9
Aguadilla, PR 00603
Phone
(787) 658-7098
Fax
(787) 658-6108
NPI assigned
Oct 14, 2010
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 18051 PR Primary

Addresses

Primary practice location

Carr # 2 KM 124.7
Edificio Punto Oro Suite 9
Aguadilla, PR 00603

Mailing address

PO Box 1198
Aguadilla, PR 00605-1198
Phone (787) 658-7098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101217000791 PR Practitioner - General Practice 2668660630 Reassigns benefits to 1 organization
Practice locations: Aguadilla, PR
I20200204000579 FL Practitioner - Family Practice 2668660630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18051PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carrousel Therapy Center Corporation CurrentSince Jan 1, 2020 Accepting new patients
Prevention Medical Services PSC General Practice CurrentSince May 4, 2020 Accepting new patients
Policlinica del Atlantico Corp Past Accepting new patients

Locations

1906 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 887-5505

3201 Budinger Ave
Saint Cloud, FL 34769
Phone (407) 498-4079

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1093025884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006051198",
            "telephone_number": "787-658-7098",
            "fax_number": "787-658-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR # 2 KM 124.7",
            "address_2": "EDIFICIO PUNTO ORO SUITE 9",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-658-7098",
            "fax_number": "787-658-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADILLO HERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.