Provider Demographics
NPI:1750388872
Name:BELICENA-BADILLO, MARICAR GABORNE (MD)
Entity type:Individual
Prefix:DR
First Name:MARICAR
Middle Name:GABORNE
Last Name:BELICENA-BADILLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 BECKS WOODS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-3853
Mailing Address - Country:US
Mailing Address - Phone:302-261-5600
Mailing Address - Fax:302-836-4302
Practice Address - Street 1:121 BECKS WOODS DR STE 100
Practice Address - Street 2:
Practice Address - City:BEAR
Practice Address - State:DE
Practice Address - Zip Code:19701-3853
Practice Address - Country:US
Practice Address - Phone:302-261-5600
Practice Address - Fax:302-836-4302
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0006184207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000002084Medicaid
DE8410OtherMID-ATLANTIC PROVIDER NUM
DE265-6388OtherCIGNA PROVIDER NUMBER
DE271639OtherCOVENTRY PROVIDER NUMBER
DE8410OtherMID-ATLANTIC PROVIDER NUM