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Individual

DR. JESSICA BADILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
525 AVE FD ROOSEVELT SPC 55-56, SAN JUAN, PR 00918-8001
(787) 753-6431
Mailing address
5 PALACIOS DE ESCORIAL, APT 560, CAROLINA, PR 00987-6014
(787) 599-5084

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
45
VI
152W00000X
Optometrist
4901004883
MI
152W00000X
Optometrist
Primary
751
PR
152W00000X
Optometrist
DA2480
MD
152W00000X
Optometrist
OPT003215
GA
152W00000X
Optometrist
OPT007016
OH

Other

Enumeration date
04/20/2007
Last updated
11/14/2023
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