Telleria, Miguel Angel

Telleria, Miguel Angel is an individual health care provider with primary practice located at 8501 Sw 124Th Ave Ste 110 , Miami FL 33183-4631. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Telleria, Miguel Angel can be contacted via phone (786) 808-8555.

Contact Information

Primary practice address
8501 Sw 124Th Ave Ste 110 Miami FL 33183-4631
Phone: (786) 808-8555
Fax: (786) 360-1100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME121707 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME121707 Florida

Profile Details

NPI number 1467614636
LBN Legal business name Telleria, Miguel Angel
Credentials M.D., M.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated May 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467614636 NPPES
Florida MEDICAID 015575800

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