Lizaida Medina Candelaria, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME113172 Issued in FL

Practice address

9121 N Military TRL Ste 102
Palm Beach Gardens, FL 33410-5985

Phone

(561) 619-2460

Fax

(561) 828-9311

NPI assigned

Jul 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lcandelaria19478@jupitermedicalcenter.direct-ci.com
• Direct secure messaging: lizaida.medina.1@15132.direct.athenahealth.com

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.

• SK Pediatrics, PLLC

  • Pediatrics Physician
  • Palm Beach Gardens, FL
  • NPI 1467802074
  NPD (past) Authorized official

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1942465216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 DUPONT PL",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146477",
            "telephone_number": "561-619-2460",
            "fax_number": "561-828-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 102",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105985",
            "telephone_number": "561-619-2460",
            "fax_number": "561-828-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA CANDELARIA",
        "first_name": "LIZAIDA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME113172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005835400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Med Hub Medical Inc
• Med Management of SFL LLC
• Medexpress Urgent Care of Boynton Beach, LLC
• Medexpress Urgent Care of Palm Beach Gardens, LLC
• Gilbert Figueras Medida, PA-C
• Keila Medina-Francois
• Charmae Rose Medina
• Jewel Medley
• Anita Medolla, APRN CRNA
• Medspeech Inc

• Pediatrics Physician in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.