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Organization
TELADOC HEALTH MEDICAL GROUP PUERTO RICO, PC
Active
Organization
TELADOC HEALTH MEDICAL GROUP PUERTO RICO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA UBILLA MD (PRESIDENT)
(855) 224-7318
Entity
Organization
Contact information
Practice address
1945 LAKEPOINTE DR, SUITE 100, LEWISVILLE, TX 75057-6424
(855) 224-7315
(214) 292-9396
Mailing address
1945 LAKEPOINTE DR STE 100, LEWISVILLE, TX 75057-6424
(855) 224-7315
(214) 292-9396
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
133V00000X
Registered Dietitian
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
04/09/2021
Last updated
08/19/2022
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