Jose Emilio Roman-Candelaria, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

17974 Issued in MS

Practice address

307 Boatner Road, Suite 114
96TH Medical Operations Squadron
Eglin Afb, FL 32542

Phone

(850) 883-8358

Fax

(850) 883-8517

NPI assigned

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jose Emilio Roman Professional name

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1710946520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 BOATNER RD STE 114",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421302",
            "telephone_number": "850-883-8197",
            "fax_number": "850-883-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 BOATNER ROAD, SUITE 114",
            "address_2": "96TH MEDICAL OPERATIONS SQUADRON",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "32542",
            "telephone_number": "850-883-8358",
            "fax_number": "850-883-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN-CANDELARIA",
        "first_name": "JOSE",
        "middle_name": "EMILIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MS",
            "license": "17974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "ROMAN",
            "middle_name": "EMILIO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Diane Campbell Ritter, MD
• Stephanie Robinson, LCSW
• Katelyn Robson
• Dana Lynn Roccograndi, RPH, PHARMD
• Alexa Rodriguez, MS, RD, CSSD
• Gina Elaine Rose-Schmidt, NURSE PRACTITIONER
• David McCollough Ross II, MD
• Karissa A Rumple, DDS
• Kellyann Ryan, RDH
• Robert L Ryles Jr., DMD

• Pulmonary Disease Physician in Eglin Afb, FL
• Providers in Eglin Afb, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.