David Badillo MD PSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18213 Issued in PR

Legal business name

DAVID BADILLO MD PSC

Practice address

Calle 2 KM 156.7
Edif Pharmamax
Mayaguez, PR 00680

Phone

(787) 834-4767

Fax

(787) 834-4767

NPI assigned

Jun 11, 2015

Last updated

Oct 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Badillo, MD

Title

President

Phone

(787) 405-1194

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Badillo-Torres, M.D.

  • Internal Medicine Physician
  • NPI 1982995593

  PR

  Medicare reassignment

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1962883397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2021",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006022021",
            "telephone_number": "787-405-1194",
            "fax_number": "787-834-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 2 KM 156.7",
            "address_2": "EDIF PHARMAMAX",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-834-4767",
            "fax_number": "787-834-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BADILLO MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "BADILLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-405-1194",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "18213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FG902A",
            "identifier": "1982995593",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cuidado Casero Mayaguez, Inc.
• Roberto Carlos Cummings, MD
• Gabriel Curet, LIDER RECREATIVO
• Damaris Garcia Mercado
• Noel Antonio Dastas Mendez, MD
• Davidaendocrinology LLC
• Kyrmarie M Davila, M.D.
• Omayra De Jesus Durant, LCSW
• Andrea Isabel De Jesus Navia
• Zorima De Jesus Rivera

• Internal Medicine Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.