Provider Demographics
NPI:1710913561
Name:ARMSTRONG-BADILLO, NYLIA MICHELLE (OD)
Entity Type:Individual
Prefix:
First Name:NYLIA
Middle Name:MICHELLE
Last Name:ARMSTRONG-BADILLO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 TH STREET BLOCK 23 #9
Mailing Address - Street 2:SABANA GARDENS
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983
Mailing Address - Country:US
Mailing Address - Phone:787-768-2071
Mailing Address - Fax:787-276-0065
Practice Address - Street 1:ROAD 3 65TH INFANTERY
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-769-2477
Practice Address - Fax:787-276-0065
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR468152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist