Individual provider Active NPI

Julio Cesar Campis Candelario, MD

  • General Practice Physician
  • San German, PR
National Provider Identifier
1093358723
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21576 Issued in PR
Practice address
Las Quintas Calle Noruega B7
San German, PR 00683
Phone
(787) 562-8335
NPI assigned
Oct 25, 2019
Last updated
Oct 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21576 PR Primary

Addresses

Primary practice location

Las Quintas Calle Noruega B7
San German, PR 00683

Mailing address

128 Las Quintas
San German, PR 00683
Phone (787) 562-8335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200925001858 PR Practitioner - General PracticePractitioner - Emergency Medicine 8325467228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Carr 119 KM
0 Bo Piedras Blancas
San Sebastian, PR 00685-0000
Phone (787) 896-1665

Carr 368 KM
1.0 Bo Machuchal
Sabana Grande, PR 00637-0000
Phone (787) 831-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Jul 22, 2022 Accepting new patients
Clinica Yaguez, Inc. Current Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Jul 22, 2022 Accepting new patients
Clinica Yaguez, Inc CurrentSince Jun 24, 2020 Accepting new patients
Migrant Health Center Western Region,Inc Current Accepting new patients
Clinica Yaguez, Inc. CurrentSince Jun 24, 2020 Accepting new patients

Locations

117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445

392 Calle Rmn Btnces S
Mayaguez, PR 00680
Phone (787) 317-5187

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1093358723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LAS QUINTAS",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-562-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAS QUINTAS CALLE NORUEGA B7",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-562-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPIS CANDELARIO",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

Verify at the official NPI Registry.