Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Etny Raul Candelario, MD

Individual provider Family Medicine Physician · NPI 1568084150

Etny Raul Candelario, MD is a Family Practice in Mystic, Connecticut. Qualified in 2019, 7 years ago. Practices with Hartford Healthcare Medical Group Inc, a 234-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut, Michigan and Texas.

Years since qualifying
7
Licensed in
CT, MI, TX
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 Perkins Farm Dr Ste 203
Mystic, CT 06355-4041
Phone: (860) 576-8911
Fax: (860) 572-7758
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1339 Fair Ave, San Antonio, TX 78223-1437 — (210) 923-4372

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 79070 (CT)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301510053 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence U6458 (TX)

Record details

NPI number1568084150
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 18, 2020
Last updated in NPPESAugust 23, 2024
Certification dateAugust 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Hartford Healthcare Medical Group Inc — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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