JOSE B TELLEZ (NPI# 1730315631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730315631 |
| Entity Type | Individual |
| Full Name | JOSE B TELLEZ |
| Credential | PA |
| Practice Address |
1321 Nw 14th St Suite 203 Miami FL 33125-1673 |
| Practice Telephone | 3055459393 |
| Practice Fax Number | 3055472393 |
| Mailing Telephone | 3055459393 |
| Mailing Fax Number | 3055472393 |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9100860 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1321 NW 14TH ST SUITE 203 |
| City | MIAMI |
| State | FL |
| Zip Code | 33125-1673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346247533 | Melinda G. Shoemaker | Podiatrist | 1321 Nw 14th St, Ste 103, Miami, FL 33125-1653 | 2005-07-01 |
| 1679134290 | Bianca Maura Cuervo-rodriguez | Nurse Practitioner | 1321 Nw 14th St, Miami, FL 33125-1673 | 2019-06-25 |
| 1164875068 | Natalie Logie | Radiology | 1321 Nw 14th St, Miami, FL 33125-1673 | 2016-07-15 |
| 1871945006 | Psych Er Consultants, LLC | Psychiatry & Neurology | 1321 Nw 14th St, Suite 401 C, Miami, FL 33125-1673 | 2016-07-12 |
| 1497106934 | Silvia M. Marroquin Castillo | Physician Assistant | 1321 Nw 14th St, Suite # 202, Miami, FL 33125-1673 | 2016-06-27 |
| 1992175400 | Menthor Medical Holdings LLC | Health Maintenance Organization | 1321 Nw 14th St, Suite 603, Miami, FL 33125-1673 | 2015-09-28 |
| 1679942692 | Genesiscare Usa of Florida LLC | Urology | 1321 Nw 14th St, Suite 205, Miami, FL 33125-1673 | 2015-09-21 |
| 1861874141 | Brandon Mahal | Internal Medicine | 1321 Nw 14th St, Miami, FL 33125-1673 | 2015-06-23 |
| 1821491069 | Internal Medicine Institute of Florida, LLC | Internal Medicine | 1321 Nw 14th St, Suite 203, Miami, FL 33125-1673 | 2014-10-02 |
| 1811337546 | Derek Michael Isrow | Radiology | 1321 Nw 14th St, Miami, FL 33125 | 2013-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1548872971 | Easter Seals South Florida, Inc. | Home Health | 1475 Nw 14 Ave, Miami, FL 33125 | 2020-08-18 |
| 1295368991 | Stellar Alf II LLC | Assisted Living Facility | 3055 N.w. Flagler Terr., Miami, FL 33125 | 2020-02-20 |
| 1841773546 | Enmanuel Alejandro Iglesias | Speech-Language Pathologist | Thera-pro Care,llc 888 Nw 27 Avenue, Suite 5, Miami, FL 33125 | 2018-09-10 |
| 1588158117 | Josefina Cammarano De Casas | Behavior Technician | 720 Nw 19th Ct., Miami, FL 33125 | 2018-06-18 |
| 1861984262 | Patricia Gabbidon | Audiologist | 1201 Nw 16th St Rm 2a151, Miami, FL 33125 | 2018-05-31 |
| 1154829471 | Iviana Tamara Farinas | Nurse Practitioner | 1951 Nw 7th Street, Miami, FL 33125 | 2018-02-01 |
| 1316452634 | Dayana A Perez Del Pozo | Physical Therapy Assistant | 1422 Nw 7th Street, Marlins Park Third Base Entrance, Miami, FL 33125 | 2017-12-08 |
| 1275046831 | Galaxy Wellness Sport and Rehabilitation Center LLC | Orthopaedic Surgery | 1951 Nw 7th St, Miami, FL 33125 | 2017-11-06 |
| 1609398247 | Yaremi Ramirez | Behavioral Analyst | 2145 Nw 13th St, Miami, FL 33125 | 2017-07-14 |
| Find all providers in zip 33125 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574450 | Carlos Humberto Jaen Sr. | Physician Assistant | 1685 Sw 17th Ter, Miami, FL 33145-2809 | 2020-06-25 |
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1174037477 | Polina Dasgupta | Physician Assistant | 1390 Brickell Ave Ste 340, Miami, FL 33131-3324 | 2017-11-22 |
| 1437514247 | Evelyn Hernandez | Physician Assistant | 13024 Sw 108th Street Cir, Miami, FL 33186-3419 | 2015-12-21 |
| 1366813966 | Mabel Marichal | Physician Assistant | 13205 Sw 137th Ave Ste 221, Miami, FL 33186 | 2015-10-08 |
| 1427444033 | Tecresha Shaw | Physician Assistant | 104 Nw 145th St, Miami, FL 33168-4930 | 2015-04-09 |
| 1356730964 | Christopher Alvaro Ortiz | Physician Assistant | 9401 Sw 105th Ave, Miami, FL 33176-2623 | 2015-01-20 |
| 1275937948 | Nicole Quicuti | Physician Assistant | 12061 Sw 126th Ter, Miami, FL 33186-6107 | 2014-10-09 |
| 1356750541 | Jonathan E Delvalle | Physician Assistant | 2400 Nw 54th St, Miami, FL 33142-2946 | 2014-08-13 |
| 1164853149 | Melissa Troha | Physician Assistant | 7800 Sw 87th Ave # B200, Miami, FL 33173 | 2013-12-02 |
| Find all providers in MIAMI | ||||
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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.