Tellez, Cecilia Maria

Tellez, Cecilia Maria is an individual health care provider with primary practice located at 18424 S Hwy 28 , San Miguel NM 88058. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tellez, Cecilia Maria can be contacted via phone (575) 233-3830.

Contact Information

Primary practice address
18424 S Hwy 28 San Miguel NM 88058
Phone: (575) 233-3830
Fax: (575) 233-4542
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20020162 New Mexico

Profile Details

NPI number 1881604122
LBN Legal business name Tellez, Cecilia Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Aug 29th, 2018 - about 8 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 1881604122 NPPES
New Mexico Other 346734703 MEDICARE
New Mexico MEDICAID 78659230 MEDICARE

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