Active NPI
Roberto Candelaria-Santiago, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Dover, DE
National Provider Identifier
1790051134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 27995
- Practice address
- 115 Purple Heart Ave
Dover, DE 19902-5051 - Phone
- (302) 346-8724
- NPI assigned
- Mar 29, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 78172 | CT | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 27995 | NE | Primary |
| General Practice Physician | 208D00000X | 27995 | NE |
Addresses
Primary practice location
115 Purple Heart Ave
Dover, DE 19902-5051
Mailing address
8901 Wisconsin Ave
Bethesda, MD 20889-2095
Phone (301) 295-4000
Other practice location 1
11 Shuttle Rd
Farmington, CT 06032-1900
Phone (860) 679-4426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27995 | NE | MD | General Practice Physician |
| 78172 | CT | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752451200000",
"number": "1790051134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208892095",
"telephone_number": "301-295-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 PURPLE HEART AVE",
"city": "DOVER",
"state": "DE",
"postal_code": "199025051",
"telephone_number": "302-346-8724"
}
],
"practiceLocations": [
{
"address_1": "11 Shuttle Rd",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060321900",
"country_code": "US",
"telephone_number": "860-679-4426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CANDELARIA-SANTIAGO",
"first_name": "ROBERTO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-29",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CT",
"license": "78172",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "NE",
"license": "27995",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NE",
"license": "27995",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.