Edwin Candelario-Torres, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Hatillo, PR
NPI 1164406815 · NPPES record last updated Nov 3, 2016
Key facts
- NPI
- 1164406815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 7101 (PR)
- Practice address
- Medical & Professional Office Plaza
Suite 132
Hatillo, PR 00659-0000 - Phone
- (787) 880-2076
- Fax
- (787) 817-8894
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- University of Puerto Rico School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Carr 493 KM 0
Hatillo, PR 00659-0279
Phone (787) 880-2076
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101101000783 | PR | Practitioner - Obstetrics/Gynecology | 9537353859 | Practice locations: Hatillo, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7101 | PR | |
| Obstetrics & Gynecology Physician | 207V00000X | 7101 | PR | Yes |
Addresses
Primary practice location
Medical & Professional Office Plaza
Suite 132
Hatillo, PR 00659-0000
Mailing address
PO Box 140279
Arecibo, PR 00614-0279
Phone (787) 880-2076
Other providers in Hatillo, PR
- Alejandra Burgos
- Mitchell Butler
- Janeth Cajigas
- Barbara N Canals
- Yahira Candelaria
- Caribbean Wellness Center
- Caribe Health Center LLC
- Edwin Carrasquillo
- Ramon E Carrillo Torres
- Sara Castillo
All providers in Hatillo, PR · Obstetrics & Gynecology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.