Individual
ETNY RAUL CANDELARIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 PERKINS FARM DR STE 203, MYSTIC, CT 06355-4041
(860) 576-8911
(860) 572-7758
Mailing address
1339 FAIR AVE, SAN ANTONIO, TX 78223-1437
(210) 923-4372
(210) 923-5581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301510053
MI
207Q00000X
Family Medicine Physician
Primary
79070
CT
207Q00000X
Family Medicine Physician
U6458
TX
Other
Enumeration date
05/18/2020
Last updated
08/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us