Roberto Candelaria-santiago, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Farmington, Connecticut. His current practice location is
11 Shuttle Rd, Farmington, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 679-4426.
Roberto Candelaria-santiago is licensed to practice in Connecticut (license number 78172) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790051134.
Physician's Profile
Full Name | Roberto Candelaria-santiago |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 11 Shuttle Rd, Farmington, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790051134
- Provider Enumeration Date: 03/29/2012
- Last Update Date: 09/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800014200
- Enrollment ID: I20140827000485
Medical Identifiers
Medical identifiers for Roberto Candelaria-santiago such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790051134 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 27995 (Nebraska) | Secondary |
208D00000X | General Practice | 27995 (Nebraska) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 78172 (Connecticut) | Primary |
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. Roberto Candelaria-santiago 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 Address | Practice Location Address |
Roberto Candelaria-santiago, MD Mamc Dept Of Pathology, 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 Ph: (253) 968-5025 | Roberto Candelaria-santiago, MD 11 Shuttle Rd, Farmington, CT 06032-1900 Ph: (860) 679-4426 |
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