Active NPI
Nelson G Gonzalez-Candelario
- Pharmacist
- Bayamon, PR
National Provider Identifier
1548733827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6525
- Practice address
- Costco Wholesale Warehouse
PR2 KM 15.5
Bayamon, PR 00961 - Phone
- (787) 474-6930
- NPI assigned
- Jan 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6525 | PR | Primary |
Addresses
Primary practice location
Costco Wholesale Warehouse
PR2 KM 15.5
Bayamon, PR 00961
Mailing address
Costco Wholesale Warehouse
PR2 KM 15.5 Hato Tejas
Bayamon, PR 00961
Other practice location 1
Pr2 Km 15.5 Hato Tejas
Bayamon, PR 00961
Phone (787) 474-6930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6525 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546992000000",
"number": "1548733827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COSTCO WHOLESALE WAREHOUSE",
"address_2": "PR2 KM 15.5 HATO TEJAS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COSTCO WHOLESALE WAREHOUSE",
"address_2": "PR2 KM 15.5",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-474-6930"
}
],
"practiceLocations": [
{
"address_1": "Pr2 Km 15.5 Hato Tejas",
"address_purpose": "LOCATION",
"city": "Bayamon",
"state": "PR",
"postal_code": "00961",
"country_code": "US",
"telephone_number": "787-474-6930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ-CANDELARIO",
"first_name": "NELSON",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-09",
"last_updated": "2019-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
- Lismari Charity Gonzalez Santos, MD
- Marilis Charity Gonzalez Santos, MD
- Orlando Gonzalez Vazquez, M.D.
- Miguel A Gonzalez-Ascar, DMD, MS
- Luis A. Gonzalez-Camacho, M.D.
- Rafael Angel Gonzalez-Gpmzalez, M.D.
- Luis Benjamin Gonzalez-Ingles, MD
- Yadira Enid Gonzalez-Soto
- Monica Andrea Gonzalez-Trelles, MSW, LCSW
- Adianeliz Gonzalez, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.