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
| License | State | Type | Specialty |
|---|---|---|---|
| 1943 | PR | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Pedro O. Cabrera-Bonet
- Luis Edgardo Caldero
- Luis Calvo
- Jocely Camacho
- Lizbeth Candelaria Gonzalez
- Capif, Inc.
- Isis Cardona
- Julissa Cardona
- Carlos R. Soto-Villarrubia M.D.
- Mildred Caro Ruiz
All providers in Aguada, PR · Medical Physician Assistant 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 May 28, 2024. 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.