Individual provider Active NPI

Rosalie Candelario, M.D.

  • General Practice Physician
  • Cidra, PR
National Provider Identifier
1619081221
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13815 Issued in PR
Practice address
2 Calle Francisco Cruz
Cidra, PR 00739-3420
Phone
(787) 739-8182
Fax
(787) 739-8190
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080313000640 PR Practitioner - General Practice 3173608288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13815PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cossma, Inc. CurrentSince Oct 1, 2003 Accepting new patients
Cossma Inc CurrentSince Oct 1, 2003 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13815 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

2 Calle Francisco Cruz
Cidra, PR 00739-3420

Mailing address

PO Box 10012
Cidra, PR 00739-9012
Phone (787) 738-7121

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619081221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10012",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399012",
            "telephone_number": "787-738-7121",
            "fax_number": "787-738-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE FRANCISCO CRUZ",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393420",
            "telephone_number": "787-739-8182",
            "fax_number": "787-739-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIO",
        "first_name": "ROSALIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cidra, PR

Sources for this page

Verify at the official NPI Registry.