Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUAN JOSE CANDELARIO GONZALEZ, M.D.
Active Sole ProprietorJUAN JOSE CANDELARIO GONZALEZ, M.D. is a Primary Care Clinic healthcare provider located in TEMPLE TERRACE, Florida. NPI 1881971885 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · TEMPLE TERRACE, FL
Registration Details
- NPI Number
- 1881971885
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2011 (14.798714218353 yrs)
- Last Updated
- Nov 4, 2016
- Licenses
-
ME130303 (FL)29075 (PR)28732 (PR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11531 N 56TH ST#103TEMPLE TERRACE, FL, 336172238Browse FL providers · Browse ZIP 33617
- Phone
- 8139994963
- Primary Specialty
-
Primary Care Clinic
261QP2300X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.