DR. EVELYN TELLADO (NPI# 1710588561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710588561 |
| Entity Type | Individual |
| Full Name | DR. EVELYN TELLADO |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
Bo Sabana Hoyos Sec Villa Laguna 383 St Eugenio Maria De Hostos Vega Alta PR 00692 |
| Mailing Address |
Hc 83box 7333 Vega Alta PR 00692 |
| Practice Telephone | 9396285292 |
| Mailing Telephone | 9396285292 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
00646-PA | PR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | PSICIAN ASSISTANT | 00646-PA | 01 |
| Street Address |
BO SABANA HOYOS SEC VILLA LAGUNA 383 ST EUGENIO MARIA DE HOSTOS |
| City | VEGA ALTA |
| State | PR |
| Zip Code | 00692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952699 | Optica Lm LLC | Durable Medical Equipment & Medical Supplies | Palmas De Cerro Gordo 144, Calle Real G-35, Vega Alta, PR 00692 | 2020-11-04 |
| 1396357802 | Morovis Community Health Center, Inc. | Clinic/Center | Bo. Espinoza, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-08-18 |
| 1831707546 | Morovis Community Health Center Inc | Clinic/Center | Bo. Espinosa, Carr 2 Km 30.2, Vega Alta, PR 00692 | 2020-07-20 |
| 1205458379 | Veronica Cristina Ramos Caban | Physician Assistant | Pr-693 Suite 171 Bo. BreÑas, Vega Alta, PR 00692 | 2020-05-12 |
| 1629698196 | Wildalis Novoa-vidot | Student in an Organized Health Care Education/Training Program | Bo Santa Rosa Calle Las Violetas Int Finca#1, Vega Alta, PR 00692 | 2020-04-24 |
| 1073143780 | Andre Medina-sanchez | General Practice | Carr #2 Km 31.9, Bo. Bajura, Vega Alta, PR 00692 | 2020-01-22 |
| 1437797396 | Vega Alta X Ray | Radiology | Urb. Santa Rita, H48 Interior, Vega Alta, PR 00692 | 2019-12-11 |
| 1083251367 | Carmen Milagros Garcia Barreto | Pharmacist | Bo Espinosa Carr 2 Km 30 H 1, Vega Alta, PR 00692 | 2019-12-05 |
| 1255976676 | Carmen M. Navedo-rosado | Social Worker | Calle Higuero #46, Bo. Bajura Almirante, Vega Alta, PR 00692 | 2019-11-08 |
| 1386293199 | Centro De Vacunacion Del Norte LLC | Preventive Medicine | Bo Sabana Carr 693 Km 14, Vega Alta, PR 00692 | 2019-09-05 |
| Find all providers in zip 00692 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205458379 | Veronica Cristina Ramos Caban | Physician Assistant | Pr-693 Suite 171 Bo. BreÑas, Vega Alta, PR 00692 | 2020-05-12 |
| 1265070957 | Jose David Acosta Sr. | Physician Assistant | 73 Calle 2, Vega Alta, PR 00692-5761 | 2019-12-13 |
| 1992919435 | Maira A Mercedes | Physician Assistant | Carr. # 2 Carcel De Mujeres Vega Alta, Vega Alta, PR 00692 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124929 | Grace Marie Gonzalez | Physician Assistant | Rodriguez Olmo, Calle Armando Vega Colon, Numero 25, Arecibo, PR 00612 | 2020-11-06 |
| 1205437316 | Ana Gabriela Silva | Physician Assistant | B41 Calle Elliot Velez, Manati, PR 00674-4615 | 2020-11-04 |
| 1790390250 | Roberto Martinez Caballero | Physician Assistant | Carr#2 Km 141.1 Ave. Severiano Cuevas Bo Caimital Bajo, Aguadilla, PR 00603 | 2020-09-11 |
| 1508476631 | Ramon Luis Gonzalez Hernandez | Physician Assistant | Q17 Calle 10 Sierra Linda, Bayamon, PR 00957-2130 | 2020-08-04 |
| 1861002073 | Giancarlo Perez Lorenzo | Physician Assistant | Jj 21 Calle 32, Urb Villa Rita, San Sebastian, PR 00685-2804 | 2020-08-03 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1225656226 | Mileidys Perez Gutierrez | Physician Assistant | 201 Ave Gautier Benitez, Consolidated Medical Plaza, Suite 101, Caguas, PR 00725 | 2020-07-07 |
| 1659995439 | Asia Elizabeth Delgado Lorenzo | Physician Assistant | #128 Ave. Ashford, Edif. Ashford Medical Plaza, Suite 201, Guayama, PR 00784 | 2020-06-08 |
| 1477174167 | Carolina Sanchez Diaz | Physician Assistant | 400 Carr 848 Apt 806, Carolina, PR 00987-6827 | 2020-05-04 |
| 1023639127 | Eugenio Alejandro Sanchez Perez IIi | Physician Assistant | Urb. Los Versalles, Calle Luis Xiv #2042, Mayaguez, PR 00682 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.