Healthcare Provider Details

I. General information

NPI: 1245598036
Provider Name (Legal Business Name): DENNYS REYES CANDEDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8756 BOYNTON BEACH BLVD STE 2500
BOYNTON BEACH FL
33472-4470
US

IV. Provider business mailing address

335 E LINTON BLVD # 2032
DELRAY BEACH FL
33483-5023
US

V. Phone/Fax

Practice location:
  • Phone: 561-499-7551
  • Fax:
Mailing address:
  • Phone: 786-285-4505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084A2900X
TaxonomyNeurocritical Care Physician
License NumberME123393
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084D0003X
TaxonomyDiagnostic Neuroimaging (Psychiatry & Neurology) Physician
License NumberME123393
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License NumberME123393
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME123393
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: