Individual provider Active NPI

Carlos Gustavo Candales, ARNP

  • Family Nurse Practitioner
  • Miami, FL
National Provider Identifier
1134576465
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9250150 Issued in FL
Practice address
1690 SW 27TH Ave Apt 901
Miami, FL 33145-2079
Phone
(305) 401-0097
Fax
(305) 990-8169
NPI assigned
May 17, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 9250150 FL Primary

Addresses

Primary practice location

1690 SW 27TH Ave Apt 901
Miami, FL 33145-2079

Mailing address

1690 SW 27TH Ave Apt 901
Miami, FL 33145-2079
Phone (305) 401-0097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915001813 FL Practitioner - Nurse Practitioner 0143512319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Puerto Rico School of Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1690 SW 27TH Ave
Apt 901
Miami, FL 33145-2079

9495 SW 72 St
Suite B 180
Miami, FL 33174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9250150FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Candales Arnp PA Family CurrentSince Jul 1, 2025 Accepting new patients
Roberto Polanco MD PA PastSince Jan 10, 2007 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1134576465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 SW 27TH AVE APT 901",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452079",
            "telephone_number": "305-401-0097",
            "fax_number": "305-990-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 SW 27TH AVE APT 901",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452079",
            "telephone_number": "305-401-0097",
            "fax_number": "305-990-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDALES",
        "first_name": "CARLOS",
        "middle_name": "GUSTAVO",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-17",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9250150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.