Individual provider Active NPI

Maritere Babilonia, MD

  • General Practice Physician
  • Quebradillas, PR
National Provider Identifier
1487215661
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
22033 Issued in PR
Practice address
Carr 4484 Sector Quebrada Mala KM0.4
Barrio San Jose
Quebradillas, PR 00678-7431
Phone
(787) 372-3531
NPI assigned
Jun 27, 2019
Last updated
Feb 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 22033 PR Primary

Addresses

Primary practice location

Carr 4484 Sector Quebrada Mala KM0.4
Barrio San Jose
Quebradillas, PR 00678-7431

Mailing address

PO Box 61
Quebradillas, PR 00678-0061
Phone (787) 372-3531

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210317001646 PR Practitioner - General Practice 5294141263 Practice locations: Quebradillas, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22033PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1487215661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780061",
            "telephone_number": "787-372-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 4484 SECTOR QUEBRADA MALA KM0.4",
            "address_2": "BARRIO SAN JOSE",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006787431",
            "telephone_number": "787-372-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABILONIA",
        "first_name": "MARITERE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2021-02-11",
        "certification_date": "2021-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

Verify at the official NPI Registry.