Individual
DR. CARLOS MIGUEL TELLECHEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
390 S. STATE ROAD 7, HOLLYWOOD, FL 33023
(954) 743-5522
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(954) 743-5522
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
ME152530
FL
Other
Enumeration date
07/10/2013
Last updated
08/23/2021
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