Individual provider · Type 1 NPI
Juan Jose Candelario Gonzalez, MD
Primary Care Clinic/Center · Temple Terrace, FL
NPI number
1881971885
Active
Practice location
11531 N 56th St, #103
Temple Terrace, FL 33617-2238
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | ME130303 (FL) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 29075 (PR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | 28732 (PR) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
About NPI 1881971885
Juan Jose Candelario Gonzalez, MD's National Provider Identifier is 1881971885, issued on Nov 4, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Temple Terrace, FL. The record was last updated on Nov 4, 2016.