Ariel Cortes Badillo, PH. D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

4252 Issued in PR

Practice address

222 Calle Marina
Aguada, PR 00602-3215

Phone

(787) 202-6967

NPI assigned

Jul 17, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Home Psychiatric Service Corp

  • Psychiatry Physician
  • Aguada, PR
  • NPI 1033924774

  Clinical Child & Adolescent

  Medicare reassignment NPD

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1245585231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CALLE MARINA",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023215",
            "telephone_number": "787-202-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CALLE MARINA",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006023215",
            "telephone_number": "787-202-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTES BADILLO",
        "first_name": "ARIEL",
        "name_prefix": "Dr.",
        "credential": "PH. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "4252",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PR",
            "license": "4252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4252",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeylin Cordero Soto, MSW
• Bryan Vega Cordero, DC
• Elizabeth Cordero, PHYSICAL THERAPIST
• Juan M Corona-Amaro, M.D.
• Jayleen Cortes Acevedo
• Analyz Cortes Concepcion, PHARMD
• Soamy Lis Cortes Correa, LCSW
• Brendaliz Cortes Lopez, MAESTRIA PSICOLOGIA
• Luis E Cortes Lopez, MD
• Cortes Medical Transport Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.