# CENTRO DE MEDICINA PULMONAR DR CANDELARIO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174690366
- **Authorized official:** JUAN J CANDELARIO LANZA M.D. (PRESIDENT)
- **Authorized official phone:** (787) 703-1525

## Contact information

- **Practice address:** HIMA PLAZA I, 500 AVE. DEGETAU SUITE 503-504, CAGUAS, PR 00725
- **Practice address phone:** (787) 703-1525
- **Practice address fax:** (787) 703-1530
- **Mailing address:** PARQUE DE BUCARE, C4 BROMELIA ST., GUAYNABO, PR 00969
- **Mailing address phone:** (787) 744-6626
- **Mailing address fax:** (787) 703-1525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 9002 | PR | Yes |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 03/28/2024
