Individual
ELENA VICTORIA TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2001 W 68TH ST STE 202, HIALEAH, FL 33016-1801
(305) 364-2107
Mailing address
4960 SW 72ND AVE STE 406, MIAMI, FL 33155-5506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS18764
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2019
Last updated
10/27/2022
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