DR. FABIAN JUDE CANDOCIA (NPI# 1306882873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306882873 |
| Entity Type | Individual |
| Full Name | DR. FABIAN JUDE CANDOCIA |
| Credential | M.D. |
| Practice Address |
1500 Bay Rd 330 Miami Beach FL 33139-3252 |
| Mailing Address |
3740 Sw 129th Ave Miami FL 33175-2818 |
| Practice Telephone | 3056959417 |
| Practice Fax Number | 3056959417 |
| Mailing Telephone | 3056959417 |
| Mailing Fax Number | 3056959417 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0700X |
Radiology Specialization: Neuroradiology |
ME92127 | FL | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME92127 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1500 BAY RD 330 |
| City | MIAMI BEACH |
| State | FL |
| Zip Code | 33139-3252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255973061 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 709 Alton Road Suite 430, Miami Beach, FL 33139 | 2019-10-14 |
| 1811548308 | Yoel O Guerra | Behavior Technician | 800 West Ave Apt 942, Miami Beach, FL 33139 | 2019-09-25 |
| 1285153239 | Stella Kocovic Villacorta | Internal Medicine | 709 Alton Road, Suite 440, Miami Beach, FL 33139 | 2017-09-11 |
| 1922524164 | Noel De Leon | Pharmacist | 730 15 Street Apt 1-d, Miami Beach, FL 33139 | 2017-08-18 |
| 1861916868 | Susana Cruz | Behavior Technician | 710 Washinghton Ave Apt# 223, Miami Beach, FL 33139 | 2017-08-01 |
| 1730627530 | Viviana Yerex | Behavior Technician | 800 West Ave. Apt. 602, Miami Beach, FL 33139 | 2017-02-01 |
| 1841662921 | Miami Beach Holistic Addiction Treatment Center | Substance Abuse Rehabilitation Facility | 309 23rd Street Ste 200-c, Miami Beach, FL 33139 | 2015-10-28 |
| 1609245778 | Borinquen Health Care Center Inc | Clinic/Center | 1050 4th Street, South Pointe Elementary, Miami Beach, FL 33139 | 2015-09-18 |
| 1558730622 | Borinquen Health Care Center Inc | Clinic/Center | 1420 Washington Avenue, Fienberg Fisher K-8, Miami Beach, FL 33139 | 2015-09-18 |
| 1407238603 | Wayne Holman | General Practice | 500 South Pointe Drive Suite 220, C/o Ridgeback Capital Management, Miami Beach, FL 33139 | 2015-06-24 |
| Find all providers in zip 33139 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316298193 | Msmc Interventional, LLC | Radiology | 4300 Alton Rd, De Hirsch Meyer Tower, Suite 1100, Miami Beach, FL 33140-2800 | 2012-09-20 |
| 1992994487 | Macarthur Drake Jr. | Radiology | 6538 Collins Ave # 452, Miami Beach, FL 33141-4694 | 2007-10-19 |
| 1831135367 | Maruja Santiago Velez | Radiology | 5111 Cherokee Ave, Miami Beach, FL 33140-2624 | 2006-06-22 |
| 1609291368 | Neurointerventional Consultants, Pa | Radiology | 100 Lincoln Rd, # 1403, Miami Beach, FL 33139-2013 | 2014-03-04 |
| 1194897645 | Sachin Rastogi | Radiology | 4302 Alton Rd, Ste 830, Miami Beach, FL 33140-2891 | 2006-11-13 |
| 1679564892 | John Christopher Chaloupka | Radiology | 4302 Alton Rd, Suite 830, Miami Beach, FL 33140-2800 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528602794 | My Vital View, LLC | Radiology | 2194 Highway A1a Ste 107, Indian Harbour Beach, FL 32937-4955 | 2019-10-31 |
| 1124432281 | Frank Anton Melichar | Radiology | 1543 Crestview Ave, Tallahassee, FL 32303-5815 | 2014-06-17 |
| 1376953562 | Alex Barrocas Md Pa | Radiology | 9420 Park Dr, Miami Shores, FL 33138-2744 | 2014-04-28 |
| 1578905477 | Jorge J Sowers Md Pa | Radiology | 411 Sw 27th Ave Ste 200, Miami, FL 33135-2903 | 2013-07-22 |
| 1598008955 | Brevard Physician Associates, Pllc | Radiology | 520 E Strawbridge Ave, Melbourne, FL 32901-4732 | 2013-04-03 |
| 1306188073 | John Varvarikos | Radiology | 1890 Lpga Blvd Ste 110, Daytona Beach, FL 32117 | 2013-03-20 |
| 1083932214 | Yafell Serulle | Radiology | 1613 N Harrison Parkway Bldg C Suite 200, Sunrise, FL 33160 | 2010-05-12 |
| 1780846204 | Kardelina Diaz | Radiology | 1912 Hamilton St Ste 201, Drs. Mcclow, Clark and Berk, P.a., Jacksonville, FL 32210-2078 | 2008-06-26 |
| 1598953564 | Daniel Kelly Beirne II | Radiology | 2033 South Patrick Drive, Indian Harbour Beach, FL 32937 | 2007-10-04 |
| 1053430157 | Iliya Khramov | Radiology | 1740 Nw North River Dr Apt 425, Miami, FL 33125-2359 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
| City | MIAMI BEACH |
| Zip Code | 33139 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.