IndividualActive
Evelyn Tellado, PHYSICIAN ASSISTANT
NPI 1710588561 · Medical Physician Assistant · Vega Alta, PR
Provider details
- NPI number
- 1710588561
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 00646-PA (PR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Bo Sabana Hoyos Sec Villa Laguna 383
St Eugenio Maria De Hostos
Vega Alta, PR 00692
Phone: (939) 628-5292
Mailing address
Hc 83box 7333
Vega Alta, PR 00692
Registry dates
- Enumerated
- 2020-11-06
- Last updated
- 2020-11-12
- Certified
- 2020-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.