Candice D Fortunato MD PLLC

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

Legal business name

CANDICE D FORTUNATO MD PLLC

Practice address

500 N Rainbow Blvd Ste 300
Las Vegas, NV 89107-1061

Phone

(702) 450-1717

Fax

(702) 941-6740

NPI assigned

Aug 7, 2013

Organization subpart

No

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

Authorized official

Name

Candice D Fortunato, MD

Title

Managing Member

Phone

(702) 450-1717

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1831521228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071061",
            "telephone_number": "702-450-1717",
            "fax_number": "702-941-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N RAINBOW BLVD STE 300",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071061",
            "telephone_number": "702-450-1717",
            "fax_number": "702-941-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDICE D FORTUNATO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "FORTUNATO",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-450-1717",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domingo Candelario
• River Candelas
• Leanne Candeloro, OT
• Bernadette Candia
• Katrina Justine Candia
• Ester Candido
• Pamela Michelle Candido
• Rosa Candido
• Yovie Canding
• Phillip Candland

• Hospitalist Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Hospitalist Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.