Priscila Baco Bague, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9261 Issued in PR

Practice address

400 Ave Domenech
Las Americas Profesional Center Suite 202
San Juan, PR 00918-3710

Phone

(787) 250-1708

Fax

(787) 758-9200

NPI assigned

Jul 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Ophthalmology

Education

University of Puerto Rico School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Recinto de Ciencias Medicas

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1770654592
  Medicare reassignment Care Compare group NPD
• Recinto de Ciencias Medicas

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD
• RCP Anesthesia PSC

  • Anesthesiology Physician
  • Catano, PR
  • NPI 1023115433
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1760498950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366257",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366257",
            "telephone_number": "787-250-1708",
            "fax_number": "787-758-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE DOMENECH",
            "address_2": "LAS AMERICAS PROFESIONAL CENTER SUITE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183710",
            "telephone_number": "787-250-1708",
            "fax_number": "787-758-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACO BAGUE",
        "first_name": "PRISCILA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "9261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B Castillo LLC
• B&J Optical Boutique Inc.
• Marina F Babilonia Leon, PHARMD
• Orlando Jesus Babilonia
• Carlos R. Bachier, MD
• David M. Badia Rivera, MD
• Manuel A Badillo Collazo, M.D.
• Dianette Badillo-Hernandez, PHARM.D.
• Jeanne Michelle Badillo, D.M.D.
• Jessica Badillo, OD

• Ophthalmology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.