Individual provider Active NPI

Barbara Cuevas Candelario, DMD

  • General Practice Dentistry
  • Vega Alta, PR
National Provider Identifier
1578772950
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D-2766 Issued in PR
Practice address
Alturas de Cerro Gorrdo 3-4 F-5
Vega Alta, PR 00692
Phone
(787) 449-4995
Fax
(787) 915-2436
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D-2766 PR Primary

Addresses

Primary practice location

Alturas de Cerro Gorrdo 3-4 F-5
Vega Alta, PR 00692

Mailing address

PO Box 386
Dorado, PR 00646-0386
Phone (787) 449-4995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170519000014 FL Order and Referring Only - DentistPractitioner - Dentist 8426325671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-2766PRMDGeneral Practice Dentistry
2766PRMDGastroenterology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1578772950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006460386",
            "telephone_number": "787-449-4995",
            "fax_number": "787-915-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALTURAS DE CERRO GORRDO 3-4 F-5",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-449-4995",
            "fax_number": "787-915-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS CANDELARIO",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "D-2766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

Verify at the official NPI Registry.