Individual ProviderLuditza Perez BadilloPsychologistBehavioral Health & Social Service ProvidersPractice AddressCarretera 115 Km 22 4, Barrio Guayabo Sector Casualidad, Aguada, PR 00602-0000(787) 312-1854(787) 508-8259PECOS EnrollmentBased on the most recent information from CMS, provider Luditza Perez Badillo is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1134477755Provider TypeIndividualFull NamePerez Badillo, LuditzaGenderFemaleSole ProprietorYesEnumeration Date8/29/2012Last Updated2/17/2022Contact InformationPractice LocationPractice AddressCarretera 115 Km 22 4, Barrio Guayabo Sector Casualidad, Aguada, PR 00602-0000Phone(787) 312-1854Fax(787) 551-7316Mailing LocationMailing AddressPO Box 1308, Aguada, PR 00602-1308Phone(787) 508-8259Fax(787) 868-4720Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense4311Puerto RicoCode103TF0000XDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense4311Puerto Rico