Provider Demographics
NPI:1053188177
Name:BABILONIA, ORLANDO JESUS
Entity type:Individual
Prefix:
First Name:ORLANDO
Middle Name:JESUS
Last Name:BABILONIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ORLANDO
Other - Middle Name:JESUS
Other - Last Name:BABILONIA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:HC 4 BOX 13517
Mailing Address - Street 2:
Mailing Address - City:MOCA
Mailing Address - State:PR
Mailing Address - Zip Code:00676-9655
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400, 177 AVENIDA LA SIERRA, SAN JUAN, 00926
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-292-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8101183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist