Individual
JAIRO LUIS TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4710 S CARROLLTON AVE, NEW ORLEANS, LA 70119-6027
(504) 454-9020
Mailing address
1395 NW 167TH ST, MIAMI GARDENS, FL 33169-5710
(504) 454-9020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
328411
LA
Other
Enumeration date
07/15/2016
Last updated
08/18/2021
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