Suzette Candelario, M.D.
Individual provider Active NPI Pediatrics Physician · Juana Diaz, PR
NPI 1528032968 · NPPES record last updated Oct 14, 2020
Key facts
- NPI
- 1528032968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 9724 (PR)
- Practice address
- 9 Calle la Cruz
Centro San Cristobal
Juana Diaz, PR 00795-2426 - Phone
- (787) 837-2265
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20201209000579 | PR | Practitioner - General Practice |
5991928517 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southcal Internal Providers Inc | Current |
Accepting new patients | |
| In/Patient Services LLC | Current |
Accepting new patients |
Locations
66 Calle Munoz Rivera
Juana Diaz, PR 00795
Phone (787) 260-0137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 9724 | PR | Yes |
Addresses
Primary practice location
9 Calle la Cruz
Centro San Cristobal
Juana Diaz, PR 00795-2426
Mailing address
2639 Calle Pontevedra
Urb. Anaida
Ponce, PR 00716-3619
Phone (787) 848-8614
Other practice location 1
66 Calle Munoz Rivera
Juana Diaz, PR 00795-1607
Phone (787) 260-0137
Other providers in Juana Diaz, PR
- Johanna I Burgos
- By Kary la Nutri LLC
- C. Rabel, Inc.
- Marilyn Cabrera Rios
- Carmen Leonor Campos Santiago
- Norimar Caraballo
- Carlos R Vergne LLC
- Ilia E Castanon
- Janira Castillo Playa
- Marcial Castillo
All providers in Juana Diaz, PR · Pediatrics 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 Oct 14, 2020. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.