Karen Justina Candelario-Ocasio

Individual provider Active NPI Medical Physician Assistant · Aguada, PR

NPI 1447090618 · NPPES record last updated May 28, 2024

Key facts

NPI
1447090618
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
1943 (PR)
Practice address
P.O Box 1143
Aguada, PR 00602
Phone
(787) 868-1752
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1943PRMDMedical Physician Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1943 PR Yes

Addresses

Primary practice location

P.O Box 1143
Aguada, PR 00602

Mailing address

8215 Calle Los Mangos
Sabana Seca, PR 00952-4147
Phone (787) 224-5495

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 28, 2024.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1447090618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 CALLE LOS MANGOS",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "009524147",
            "telephone_number": "787-224-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "P.O BOX 1143",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-868-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIO-OCASIO",
        "first_name": "KAREN",
        "middle_name": "JUSTINA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "1943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguada, PR

All providers in Aguada, PR · Medical Physician Assistant in Puerto Rico

Sources for this page

Verify at the official NPI Registry.