Individual
MIGUEL ANGEL TELLERIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
8501 SW 124TH AVE STE 110, MIAMI, FL 33183-4631
(786) 808-8555
(786) 360-1100
Mailing address
9066 SW 73RD CT PH 2404, PINECREST, FL 33156-2972
(786) 808-8555
(786) 360-1100
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME121707
FL
208VP0014X
Interventional Pain Medicine Physician
ME121707
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015575800
—
FL
Enumeration date
06/30/2008
Last updated
05/22/2023
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