Jeanne Michelle Badillo, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2262 Issued in PR

Practice address

300 Ave. Felisa Rincon de Gautier
Las Vistas Shopping Village, Suite 40
San Juan, PR 00926

Phone

(787) 680-7385

Fax

(787) 680-7386

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1154412567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9132",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007929132",
            "telephone_number": "787-680-7385",
            "fax_number": "787-680-7386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVE. FELISA RINCON DE GAUTIER",
            "address_2": "LAS VISTAS SHOPPING VILLAGE, SUITE 40",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-680-7385",
            "fax_number": "787-680-7386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADILLO",
        "first_name": "JEANNE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2022-10-05",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "2262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos R. Bachier, MD
• Priscila Baco Bague, MD
• David M. Badia Rivera, MD
• Manuel A Badillo Collazo, M.D.
• Dianette Badillo-Hernandez, PHARM.D.
• Jessica Badillo, OD
• Rafael Baella Anzalota, MD
• Yvonne Baerga Varela, M.D.
• Luis Baerga-Varela, MD
• Kalitza Baerga, PH.D

• Periodontics in San Juan, PR
• Providers in San Juan, PR by specialty
• Periodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.