# HOME HEALTH PROVIDERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174615512
- **Authorized official:** PEDRO RAFAEL BADILLO M.D. (PRESIDENT)
- **Authorized official phone:** (787) 638-7648

## Contact information

- **Practice address:** CALLE LAS PALMAS \# 97, SAN JUAN, PR 00911
- **Practice address phone:** (787) 728-7326
- **Practice address fax:** (787) 728-7326
- **Mailing address:** CALLE LAS PALMAS \# 97, SAN JUAN, PR 00911
- **Mailing address phone:** (787) 728-7326
- **Mailing address fax:** (787) 728-7326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 4122 | PR | Yes |

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 08/22/2020