Active NPI
Alexis Badillo, CRNA
- Certified Registered Nurse Anesthetist
- Camuy, PR
National Provider Identifier
1427697200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 129902
- Practice address
- Urb. Paseos de Camuy
633
Camuy, PR 00627 - Phone
- (787) 212-4130
- NPI assigned
- Dec 27, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 129902 | PR | Primary |
Addresses
Primary practice location
Urb. Paseos de Camuy
633
Camuy, PR 00627
Mailing address
Urb. Paseos de Camuy
Box 633
Camuy, PR 00627
Phone (787) 212-4130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 129902 | PR | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1427697200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. PASEOS DE CAMUY",
"address_2": "BOX 633",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-212-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. PASEOS DE CAMUY",
"address_2": "633",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-212-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BADILLO",
"first_name": "ALEXIS",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-12-27",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PR",
"license": "129902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.