Provider Demographics
NPI:1356223671
Name:YULFO BADILLO, YEIDY MARIE
Entity type:Individual
Prefix:
First Name:YEIDY MARIE
Middle Name:
Last Name:YULFO BADILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2152
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-2152
Mailing Address - Country:US
Mailing Address - Phone:787-402-6764
Mailing Address - Fax:
Practice Address - Street 1:BARRIO CAMASEYES PASEO LOMAS LLANAS # 6
Practice Address - Street 2:CARR 467 KM 4.8 INT
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00604
Practice Address - Country:US
Practice Address - Phone:787-402-6764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR851235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist