REYNALDO P BADUYA SR.,DMD – NPI #1912297425
Clinic/Center

REYNALDO P BADUYA SR.,DMD is an AHC clinic located in PROVIDENCE, RI. NPPES has assigned the NPI number 1912297425 to REYNALDO P BADUYA SR.,DMD on April 18, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REYNALDO P BADUYA SR.,DMD below.

NPI Profile for
REYNALDO P BADUYA SR.,DMD

NPI Number
1912297425
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REYNALDO P BADUYA SR.,DMD
Primary location
252 ADELAIDE AVENUE
PROVIDENCE, RI 02907
Phone: (401) 941-2600 Fax: (401) 941-2600
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
YVETTE RAMIREZ
OFFICE MANAGER
Phone: (401) 941-2600
Updated
Identifiers

Identifiers for REYNALDO P BADUYA SR.,DMD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDRIRB33847
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)
RI 2491

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.