MEDICARE: ISABEL IVONNE RODRIGUEZ-CANDELARIO MD

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	207R00000X	Internal Medicine Physician	21951	PR
2	207RC0000X	Cardiovascular Disease Physician	21951	PR

General Provider Information

NPI Number	:	1790280501
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABEL IVONNE RODRIGUEZ-CANDELARIO MD

Provider Business Mailing Address
First Line	:	PO BOX 1462
Second Line	:
City	:	GUAYAMA
State	:	PR
Zip	:	00785-1462
Country	:	US
Telephone Number	:	787-391-4877
Fax Number	:

Provider Business Practice Location Address
First Line	:	249 AVE LAS MARIAS
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00927-4224
Country	:	US
Telephone Number	:	787-751-0581
Fax Number	:	787-985-8312

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

Provider Enumeration Date	:	03/26/2018
Last Update Date	:	11/09/2024

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Directions to “ ISABEL IVONNE RODRIGUEZ-CANDELARIO MD” Practice Location

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