Provider Demographics
NPI:1518123603
Name:CRESPO BADILLO, YAMIL A (MD)
Entity Type:Individual
Prefix:DR
First Name:YAMIL
Middle Name:A
Last Name:CRESPO BADILLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1522
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-1522
Mailing Address - Country:US
Mailing Address - Phone:787-877-8953
Mailing Address - Fax:787-877-1651
Practice Address - Street 1:CARR 110 KM 12.8
Practice Address - Street 2:EDIF DON PABLO III
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676
Practice Address - Country:US
Practice Address - Phone:787-877-8953
Practice Address - Fax:787-877-1651
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18485207VX0000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology