OrganizationActive
Home Health Providers
NPI 1174615512 · Exclusive Provider Organization · San Juan, PR
Provider details
- NPI number
- 1174615512
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Pedro Badillo, President(787) 638-7648
- License
- 4122 (PR)
Specialties & taxonomies
Managed Care Organizations
Practice location
Calle Las Palmas # 97
San Juan, PR 00911
Phone: (787) 728-7326
Fax: (787) 728-7326
Mailing address
Calle Las Palmas # 97
San Juan, PR 00911
Registry dates
- Enumerated
- 2006-09-29
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.