NPIMap

Individual provider Active NPI

Pedro R. Badillo-Abasolo, M.D.

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1265524607
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14589 Issued in PR
Practice address
Ave El Comandante Calle 266 PB30
3Era Ext Country Club
Carolina, PR 00982
Phone
(787) 769-7525
Fax
(787) 769-2428
NPI assigned
Sep 29, 2006
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 14589 PR Primary

Addresses

Primary practice location

Ave El Comandante Calle 266 PB30
3Era Ext Country Club
Carolina, PR 00982

Mailing address

Urb Ciudad Jardin de Canovanas
Calle Ceiba #11
Canovanas, PR 00729
Phone (787) 769-7525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050121000040 PR Practitioner - General Practice 6608825203 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ER Specialized Care LLCGroup PAC ID 6507122967, 19 clinicians

Practice addresses (Care Compare)

Avenida Juan Ponce de Leon Parada
37 Hospital Auxilio Mutuo
Hato Rey, PR 00919
Phone (787) 758-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care and More LLC CurrentSince Sep 15, 2025 Accepting new patients
Mennonite General Hospital Inc CurrentSince Apr 6, 2019 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Apr 6, 2019 Accepting new patients
Centro Medico del Turabo Inc General Practice CurrentSince Jan 16, 2016 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jan 16, 2016 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients
SM Medical Services, CSP General Practice Past Accepting new patients
Canovanas Medical Center CSP Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

PB30 Calle 266
Carolina, PR 00982
Phone (787) 769-7527

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1265524607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB CIUDAD JARDIN DE CANOVANAS",
            "address_2": "CALLE CEIBA #11",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-769-7525",
            "fax_number": "787-769-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE EL COMANDANTE CALLE 266 PB30",
            "address_2": "3ERA EXT COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-769-7525",
            "fax_number": "787-769-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADILLO-ABASOLO",
        "first_name": "PEDRO",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.