Provider Demographics
NPI:1982995593
Name:BADILLO-TORRES, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:BADILLO-TORRES
Suffix:
Gender:M
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:URB. VICTORIA CALLE CAMELIA 137
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:787-546-8301
Mailing Address - Fax:
Practice Address - Street 1:URB. VICTORIA CALLE CAMELIA # 137
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00603
Practice Address - Country:UM
Practice Address - Phone:787-546-8301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-29
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18213207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine