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Individual
ROBERTO TELLEZ
Active
Individual
ROBERTO TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD482291
PA
207RG0100X
Gastroenterology Physician
MT220038
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2020
Last updated
05/19/2025
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