MEDICARE: DR. SANDRA M CANDELARIO D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	281	PR
2	111N00000X	Chiropractor	4896	GA

General Provider Information

NPI Number	:	1750388377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA M CANDELARIO D.C.

Provider Business Mailing Address
First Line	:	PO BOX 567
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-0567
Country	:	US
Telephone Number	:	787-876-3372
Fax Number	:

Provider Business Practice Location Address
First Line	:	A6 CALLE MAIN
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-3550
Country	:	US
Telephone Number	:	787-876-3372
Fax Number	:	787-876-3372

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2005
Last Update Date	:	01/22/2024

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