Luditza Perez Badillo

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4311 Issued in PR

Practice address

Carretera 115 KM 22 4
Barrio Guayabo Sector Casualidad
Aguada, PR 00602-0000

Phone

(787) 312-1854

Fax

(787) 551-7316

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Capif, Inc.

  • Family Psychologist
  • Aguada, PR
  • NPI 1770073330
  Medicare reassignment NPD

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1134477755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006021308",
            "telephone_number": "787-508-8259",
            "fax_number": "787-868-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 115 KM 22 4",
            "address_2": "BARRIO GUAYABO SECTOR CASUALIDAD",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006020000",
            "telephone_number": "787-312-1854",
            "fax_number": "787-551-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ BADILLO",
        "first_name": "LUDITZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "PR",
            "license": "4311",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon A Ortiz
• Abdin Padilla
• Adrian Carlos Padin Roman
• Yaditza Paredes
• Sacha Perez Acevedo, PH.D.
• Jessica Marie Perez Caban, PSYD.
• Fabiola Marie Perez Chaparro
• Mayra Perez Mendoza, M.D.
• Cinthia Suzzette Perez Perez, PSYD
• Eunice Perez Torres, MA

• Clinical Psychologist in Aguada, PR
• Providers in Aguada, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.