NPIMap

Individual provider Active NPI

Jeannine M Badillo Rivera, MD

  • Diagnostic Radiology Physician
  • Santa Isabel, PR
National Provider Identifier
1649376997
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12086 Issued in PR
Practice address
Bo Jauca 11 Plaza Oasis
Carr 153 KM 6-9
Santa Isabel, PR 00757
Phone
(787) 263-0644
Fax
(787) 535-1024
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12086 PR Primary

Addresses

Primary practice location

Bo Jauca 11 Plaza Oasis
Carr 153 KM 6-9
Santa Isabel, PR 00757

Mailing address

PMB 358 667 Ponce de Leon Ave
San Juan, PR 00907-3201
Phone (787) 263-0644

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
I20040930000089 PR Practitioner - Diagnostic Radiology 7214906890 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Jose a Nassar and AsociadosGroup PAC ID 0143310789, 6 clinicians

Practice addresses (Care Compare)

63 Cruz Ortiz Stella Ave
Humacao, PR 00792
Phone (787) 852-0920

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12086PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concilio de Salud Integral de Loiza, Inc. Diagnostic Radiology CurrentSince Jan 2, 2025 Accepting new patients
Insight Management Group Inc Diagnostic Radiology CurrentSince Mar 20, 2020 Accepting new patients
Dr Jose a Nassar & Asociados Diagnostic Radiology CurrentSince Jun 23, 2018 Accepting new patients
Hospital Menonita de Cayey CurrentSince Mar 17, 2020 Accepting new patients
Hospital Menonita de Cayey Diagnostic Radiology CurrentSince Mar 17, 2020 Accepting new patients
Policlinica del Atlantico Corp CurrentSince Sep 1, 2021 Accepting new patients
Dr Jose a Nassar & Asociados Diagnostic Radiology Current Accepting new patients
RMG Management Limited Liability Company CurrentSince Jun 8, 2024 Accepting new patients
Policlinica del Atlantico, Corp. CurrentSince Sep 1, 2021 Accepting new patients
Premium Health Group Clinic CurrentSince Mar 1, 2020 Accepting new patients
Guayama Diagnostics Diagnostic Radiology Past Accepting new patients
Breast Cancer Institute C S P Past Accepting new patients
Laguna Gardens Radiology and Imaging Group Inc. Past Accepting new patients
TMR Diagnostic Imaging Past Accepting new patients
Policlinica del Atlantico, Corp. Past Accepting new patients

Locations

300 Calle Font Martelo
Humacao, PR 00791
Phone (787) 315-5855

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1649376997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 358 667 PONCE DE LEON AVE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073201",
            "telephone_number": "787-263-0644",
            "fax_number": "787-535-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO JAUCA 11 PLAZA OASIS",
            "address_2": "CARR 153 KM 6-9",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "00757",
            "telephone_number": "787-263-0644",
            "fax_number": "787-535-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADILLO RIVERA",
        "first_name": "JEANNINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "12086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

Verify at the official NPI Registry.