Individual
NICOLE M CANDELARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PROFESSIONAL CENTER, #2 LUIS MUNOZ RIVERA ST. SUITE 201, CAGUAS, PR 00725
(787) 744-5353
(787) 961-1189
Mailing address
P.O. BOX 1176, CAGUAS, PR 00726
(787) 703-1525
(787) 703-1530
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
19349
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IR688A
PTAN
PR
Enumeration date
08/20/2010
Last updated
03/28/2024
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