Active NPIIndividual provider

Dr. Jessica Badillo, OD

Optometrist in San Juan, Puerto Rico

NPI Number1689891459
Practice location
525 Ave Fd Roosevelt Spc 55-56, San Juan, PR 00918-8001
Fax
—
Last updated
November 14, 2023

Jessica Badillo is an Optometrist based in San Juan, PR. Jessica Badillo practices in San Juan, PR and has the professional credentials of OD. The NPI Number for Jessica Badillo is 1689891459 and holds a License No. 45 (VI). The current practice location address for Jessica Badillo is 525 Ave Fd Roosevelt Spc 55-56, San Juan, PR 00918-8001 and can be reached out via phone at 787-753-6431.

Provider Profile Details

NPI Number
1689891459
Provider Name
Jessica Badillo
Credential
OD
Provider Entity Type
Individual
Gender
Female
Address
525 Ave Fd Roosevelt Spc 55-56, San Juan, PR 00918-8001
Phone Number
787-753-6431
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
April 20, 2007
Last Update Date
November 14, 2023
Certification Date
November 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
525 Ave Fd Roosevelt Spc 55-56
San Juan, PR 00918-8001
Zip
00918-8001
Phone Number
787-753-6431
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
5 Palacios De Escorial
Apt 560
Carolina, PR 00987-6014
City
Carolina
State
PR
Zip
00987-6014
Phone Number
787-599-5084

License Information

License Number (1)
45
License State (1)
VI
Taxonomy (1)
Optometrist · 152W00000X
License Number (2)
4901004883
License State (2)
MI
Taxonomy (2)
Optometrist · 152W00000X
License Number (3)
opt003215
License State (3)
GA
Taxonomy (3)
Optometrist · 152W00000X
License Number (4)
opt007016
License State (4)
OH
Taxonomy (4)
Optometrist · 152W00000X
License Number (5)
da2480
License State (5)
MD
Taxonomy (5)
Optometrist · 152W00000X
License Number (6)
751
License State (6)
PR
Taxonomy (6)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jessica Badillo, OD?

The NPI number of Dr. Jessica Badillo, OD is 1689891459. It was assigned on April 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Jessica Badillo, OD?

Dr. Jessica Badillo, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in VI under license number 45.

Where does Dr. Jessica Badillo, OD practice?

The practice location is 525 Ave Fd Roosevelt Spc 55-56, San Juan, PR 00918-8001. The office can be reached at 787-753-6431 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689891459 directly on the NPPES registry website.

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