Jose Candelaria
Individual provider Active NPI Driver · Roswell, NM
NPI 1417829482 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1417829482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 325 E Bonney St
Roswell, NM 88203-5903 - Phone
- (432) 703-3029
- NPI assigned
- Sep 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver |
172A00000X | Yes |
Addresses
Primary practice location
325 E Bonney St
Roswell, NM 88203-5903
Mailing address
325 E Bonney St
Roswell, NM 88203-5903
Phone (432) 703-3029
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.