| Kenneth Badillo Cecilia, MD | |
|
Urb Los Sauces Flamboyan, 413, Humacao, PR 00791 | |
| (787) 643-9929 | |
| Not Available |
| Full Name | Kenneth Badillo Cecilia |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | Urb Los Sauces Flamboyan, Humacao, Puerto Rico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144412115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 17837 (Puerto Rico) | Primary |
| Entity Name | Oncology & Body Imaging Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699309161 PECOS PAC ID: 1557790110 Enrollment ID: O20200402000048 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Badillo Cecilia, MD Urb Los Sauces, Calle Flamboyan 413, Humacao, PR 00791 Ph: (787) 643-9929 | Kenneth Badillo Cecilia, MD Urb Los Sauces Flamboyan, 413, Humacao, PR 00791 Ph: (787) 643-9929 |
Jose Agustin Nassar, MD Radiology Medicare: Medicare Enrolled Practice Location: 63 Cruz Ortiz Stella Ave., Humacao, PR 00791 Phone: 787-852-0920 Fax: 787-852-6685 | |
Jose Raul Nassar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 63 Cruz Ortiz Stella Ave., Humacao, PR 00791 Phone: 787-852-0920 Fax: 787-852-6685 | |
Carlos Jose Nassar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 63 Cruz Ortiz Stella Ave., Humacao, PR 00791 Phone: 787-852-0920 Fax: 787-852-6685 |