Individual provider Active NPI

Adriana Candelario-Gonzalez, M.D.

  • Pulmonary Disease Physician
  • Caguas, PR
National Provider Identifier
1922425263
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
19605 Issued in PR
Practice address
Hima Plaza 1
500 Degetau Ave. Suite 503-504
Caguas, PR 00725
Phone
(787) 703-1525
Fax
(787) 703-1530
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 19605 PR
Pulmonary Disease Physician 207RP1001X 19605 PR Primary

Addresses

Primary practice location

Hima Plaza 1
500 Degetau Ave. Suite 503-504
Caguas, PR 00725

Mailing address

Pargue de Bucare
C4 -Bromelia St.
Guaynabo, PR 00969
Phone (787) 703-1525

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
I20200805002119 PR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2163847377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centro Medicina Pulmonar Dr Candelario CSPGroup PAC ID 4082793310, 2 clinicians

Practice addresses (Care Compare)

500 Ave Degetau
Caguas, PR 00725-7301
Phone (787) 703-1525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19605PRMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Medicina Pulmonar Dr Candelario Pulmonary Disease CurrentSince Jul 31, 2020 Accepting new patients
B Derm PSC PastSince Mar 31, 2024 Accepting new patients

Locations

500 Ave Degetau
Caguas, PR 00725
Phone (787) 703-1525

500 Ave Degetau
Ste 503504
Caguas, PR 00725
Phone (787) 703-1525

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.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1922425263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARGUE DE BUCARE",
            "address_2": "C4 -BROMELIA ST.",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-703-1525",
            "fax_number": "787-703-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIMA PLAZA 1",
            "address_2": "500 DEGETAU AVE. SUITE 503-504",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-703-1525",
            "fax_number": "787-703-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELARIO-GONZALEZ",
        "first_name": "ADRIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2024-03-28",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "19605",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "19605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.