Look up the most recent NPI and PECOS records

Candido Anaya

Internal Medicine

Allopathic & Osteopathic Physicians

(305) 243-1960

PECOS Enrollment

Based on the most recent information from CMS, provider Candido Anaya is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1699739078
Provider Type
Individual
Full Name
Anaya, Candido
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/13/2006
Last Updated
1/22/2020

Contact Information

Practice Location

1400 NW 12th Ave, Miami, FL 33136-1003

(305) 243-1960

(305) 243-5546

Mailing Location

1400 NW 12th Ave, Miami, FL 33136-1003

(305) 243-1960

(305) 243-5546

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME113276 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 236079 New York

Provider Identifiers

ID	Description	Issuer
ID 02741739	Description Medicaid	Issuer Unlisted New York
ID 00695941	Description Other	Issuer MEDICAID GROUP NUMBER ESSEX STREET New York
ID 331978	Description Other	Issuer MEDICARE GROUP NUMBER ESSEX STREET New York

Candido Anaya

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Mcbride, Andrew Parks

Pravia, Cristina I

Gadalla, Shenoda

Medina, Justin Anthony

Corredera, Erica

St Onge, Joan Elizabeth

Gaddipati, Neelima

Haff, Stephen

Zuckerman, David Charles

Guzman, Lilliam B