Individual
ILEANA TELLECHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
321 SW 136TH AVE, MIAMI, FL 33184-1021
(305) 226-1145
Mailing address
321 SW 136TH AVE, MIAMI, FL 33184-1021
(305) 226-1145
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND1787
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R591336
DIETETIC REGISTRATION ADA
—
Enumeration date
12/23/2005
Last updated
06/24/2021
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