Organization Active NPI

Prevention Medical Services PSC

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1710445598
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PREVENTION MEDICAL SERVICES PSC
Practice address
Carr 2 KM 127.4 Edif Punto Oro
Suite 9
Aguadilla, PR 00603
Phone
(787) 658-7098
Fax
(866) 400-3604
NPI assigned
Mar 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Authorized official

Name
Dr. Jose Ariel Badillo-Hernandez, MDNPI 1093025884
Title
Ceo
Phone
(787) 658-7098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

Carr 2 KM 127.4 Edif Punto Oro
Suite 9
Aguadilla, PR 00603

Mailing address

PO Box 1198
Aguadilla, PR 00605-1198
Phone (787) 658-7098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200727003323 PR Part B Supplier - Clinic/Group Practice 0941624647 Receives reassigned benefits from 3 practitioners
Practice locations: Aguadilla, PR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1710445598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006051198",
            "telephone_number": "787-658-7098",
            "fax_number": "866-400-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2 KM 127.4 EDIF PUNTO ORO",
            "address_2": "SUITE 9",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-658-7098",
            "fax_number": "866-400-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION MEDICAL SERVICES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "BADILLO-HERNANDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ARIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-658-7098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.