Individual provider · Type 1 NPI
Evelyn Tellado, PHYSICIAN ASSISTANT
Medical Physician Assistant · Vega Alta, PR
NPI number
1710588561
Active
Practice location
Bo Sabana Hoyos Sec Villa Laguna 383, St Eugenio Maria De Hostos
Vega Alta, PR 00692
Mailing address
HC 83BOX 7333
Vega Alta, PR 00692
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 00646-PA (PR) |
Medical Physician Assistant: Definition to come...
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About NPI 1710588561
Evelyn Tellado, PHYSICIAN ASSISTANT's National Provider Identifier is 1710588561, issued on Nov 6, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Vega Alta, PR. The record was last updated on Nov 12, 2020.