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Organization

HOME HEALTH PROVIDERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PEDRO RAFAEL BADILLO M.D. (PRESIDENT)
(787) 638-7648
Entity
Organization

Contact information

Practice address
CALLE LAS PALMAS # 97, SAN JUAN, PR 00911
(787) 728-7326
(787) 728-7326
Mailing address
CALLE LAS PALMAS # 97, SAN JUAN, PR 00911
(787) 728-7326
(787) 728-7326

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
4122
PR

Other

Enumeration date
09/29/2006
Last updated
08/22/2020
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