DR. Evelyn Tellado, PHYSICIAN ASSISTANT

NPI #1710588561 in Vega Alta, Puerto Rico

Provider Information

NPI Number
1710588561
Entity Type
Individual
Name
DR. Evelyn Tellado, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Nov 6, 2020
Last Updated
Nov 12, 2020

Practice Location

Address
BO SABANA HOYOS SEC VILLA LAGUNA 383
Address 2
ST EUGENIO MARIA DE HOSTOS
ZIP Code
00692
Phone
(939) 628-5292

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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