Individual
ITSVAN TEJERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
2780 SW 37TH AVE STE 202, COCONUT GROVE, FL 33133-2740
(305) 209-6070
Mailing address
2780 SW 37TH AVE STE 202, COCONUT GROVE, FL 33133-2740
(305) 209-6070
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN9291905
FL
Other
Enumeration date
07/06/2021
Last updated
04/09/2025
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