Male or Other

Miguel A. Telleria M.D., M.B.A.

Anesthesiology Physician in Miami, FL(View on Map)

Full Name

Miguel Angel Telleria M.D., M.B.A.

NPI Number

1467614636

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/30/2008

Specialties

(Taxonomies)

Code

207L00000X
208VP0014X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

ME121707

Contact
Information

Purpose

Mailing
Location

Address

9066 SW 73RD CT PH 2404
8501 SW 124TH AVE STE 110

City

Pinecrest
Miami

State

FL
FL

Postal Code

33156-2972
33183-4631

Country

US
US

Telephone Number

(786) 808-8555
(786) 808-8555

Identifiers

Identifier

015575800

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/22/2023

Provider Address

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