Active NPI
Delfino Candelaria Jr., M.D.
- Pediatrics Physician
- Albuquerque, NM
National Provider Identifier
1851491443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 16442
- Practice address
- 6900 Gonzales Rd SW
Albuquerque, NM 87121-2401 - Phone
- (505) 831-2534
- Fax
- (505) 831-4123
- NPI assigned
- Sep 23, 2006
- Last updated
- Jan 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 16442 | OK | Primary |
Addresses
Primary practice location
6900 Gonzales Rd SW
Albuquerque, NM 87121-2401
Mailing address
6900 Gonzales Rd SW
Albuquerque, NM 87121-2401
Phone (505) 831-2534
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407032 | Medicaid | AZ | |
| AZ0714160 | Other | AZ | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16442 | OK | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1851491443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6900 GONZALES RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871212401",
"telephone_number": "505-831-2534",
"fax_number": "505-831-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 GONZALES RD SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871212401",
"telephone_number": "505-831-2534",
"fax_number": "505-831-4123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANDELARIA",
"first_name": "DELFINO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "16442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407032",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0714160",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
- Aria Rae Candelaria, APRN-CNP
- Ashlee Anne Candelaria, MD, MPH
- Ashleigh Jennifer Candelaria, FNP-C
- Christina R Candelaria, LICENSED CLINICAL SO
- David Efren Candelaria, RN
- Donna Leonora Candelaria, FNP-C
- Eve Danielle Candelaria, CNP, FNP-BC
- Helen Candelaria, LMSW
- Isabella Rose Candelaria I, N/A
- Lionel Michael Candelaria Jr., MD, MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.