Provider Demographics
NPI:1851269690
Name:BADILLO PAGAN, YARIELIS DELMAR (RPH)
Entity type:Individual
Prefix:DR
First Name:YARIELIS
Middle Name:DELMAR
Last Name:BADILLO PAGAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 ST CECILIO URBINA APT 3108
Mailing Address - Street 2:APT 3108
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-380-5185
Mailing Address - Fax:
Practice Address - Street 1:PLAZA CAYEY SHOPPING CENTER, CARR #1
Practice Address - Street 2:LOCAL #12
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-338-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8498183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist