Dr Suzette Candelario, MD - Medicare Pediatrics in Juana Diaz, PR

Dr Suzette Candelario, MD is a medicare enrolled "Pediatrics" physician in Juana Diaz, Puerto Rico. Her current practice location is 9 Calle La Cruz, Centro San Cristobal, Juana Diaz, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at (787) 837-2265.

Dr Suzette Candelario is licensed to practice in Puerto Rico (license number 9724) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528032968.

Contact Information

Dr Suzette Candelario, MD
9 Calle La Cruz, Centro San Cristobal,
Juana Diaz, PR 00795-2426
(787) 837-2265
Not Available

Map and Direction




Physician's Profile

Full NameDr Suzette Candelario
GenderFemale
SpecialityPediatrics
Location9 Calle La Cruz, Juana Diaz, Puerto Rico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1528032968
  • Provider Enumeration Date: 02/14/2006
  • Last Update Date: 10/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991928517
  • Enrollment ID: I20201209000579

Medical Identifiers

Medical identifiers for Dr Suzette Candelario such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528032968NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 9724 (Puerto Rico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Suzette Candelario allows following entities to bill medicare on her behalf.
Entity NameSouthcal Internal Providers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215357710
PECOS PAC ID: 9133447170
Enrollment ID: O20150423000622

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Suzette Candelario is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Suzette Candelario, MD
2639 Calle Pontevedra, Urb. Anaida,
Ponce, PR 00716-3619

Ph: (787) 848-8614
Dr Suzette Candelario, MD
9 Calle La Cruz, Centro San Cristobal,
Juana Diaz, PR 00795-2426

Ph: (787) 837-2265

Reviews and Comments


Pediatrics Doctors in Juana Diaz, PR

Dr. Michelle Marie Figueroa, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Street Degeteau Esquina Munoz Rivera #45, Juana Diaz, PR 00795
Phone: 787-837-3530    Fax: 787-837-3382
Dr. Juan Rodriguez, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7 Calle La Cruz, Juana Diaz, PR 00795
Phone: 787-837-4000    Fax: 787-837-4000
Pedro J Rodriguez Burgos, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Tomas Carrion Maduro St #29 Altos, Juana Diaz, PR 00795
Phone: 787-837-0562    Fax: 787-260-0885
Yajaira Guzman-negron, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 145 Palacios Del Prado, Juana Diaz, PR 00795
Phone: 973-768-6553    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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