Active NPIIndividual providerSole proprietor

Dr. Evelyn Tellado, PHYSICIAN ASSISTANT

Physician Assistant, Medical in Vega Alta, Puerto Rico

NPI Number1710588561
Practice location
Bo Sabana Hoyos Sec Villa Laguna 383, St Eugenio Maria De Hostos, Vega Alta, PR 00692
Fax
—
Last updated
November 12, 2020

Evelyn Tellado is a Physician Assistant, Medical based in Vega Alta, PR. Evelyn Tellado practices in Vega Alta, PR and has the professional credentials of PHYSICIAN ASSISTANT. The NPI Number for Evelyn Tellado is 1710588561 and holds a License No. 00646-PA (PR). The current practice location address for Evelyn Tellado is Bo Sabana Hoyos Sec Villa Laguna 383, St Eugenio Maria De Hostos, Vega Alta, PR 00692 and can be reached out via phone at 939-628-5292.

Provider Profile Details

NPI Number
1710588561
Provider Name
Evelyn Tellado
Credential
PHYSICIAN ASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
Bo Sabana Hoyos Sec Villa Laguna 383, St Eugenio Maria De Hostos, Vega Alta, PR 00692
Phone Number
939-628-5292
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
November 6, 2020
Last Update Date
November 12, 2020
Certification Date
November 12, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Bo Sabana Hoyos Sec Villa Laguna 383
St Eugenio Maria De Hostos
Vega Alta, PR 00692
Zip
00692
Phone Number
939-628-5292
Vega Alta, PR 00692Get directions →

Provider Business Mailing Address Details

Address
Hc 83BOX 7333
Vega Alta, PR 00692
City
Vega Alta
State
PR
Zip
00692
Phone Number
939-628-5292

License Information

License Number
00646-PA
License State
PR
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Evelyn Tellado, PHYSICIAN ASSISTANT?

The NPI number of Dr. Evelyn Tellado, PHYSICIAN ASSISTANT is 1710588561. It was assigned on November 6, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Evelyn Tellado, PHYSICIAN ASSISTANT?

Dr. Evelyn Tellado, PHYSICIAN ASSISTANT is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in PR under license number 00646-PA.

Where does Dr. Evelyn Tellado, PHYSICIAN ASSISTANT practice?

The practice location is Bo Sabana Hoyos Sec Villa Laguna 383, St Eugenio Maria De Hostos, Vega Alta, PR 00692. The office can be reached at 939-628-5292 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1710588561 directly on the NPPES registry website.

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