Tejeda, Angel E

Tejeda, Angel E is an sole proprietor health care provider with primary practice located at 4305 E 8Th Ave Suite C, Hialeah FL 33013-2465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Tejeda, Angel E can be contacted via phone (305) 693-6305.

Contact Information

Primary practice address
4305 E 8Th Ave Suite C Hialeah FL 33013-2465
Fax: (305) 456-0082
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME0065366 Florida

Profile Details

NPI number 1710905914
LBN Legal business name Tejeda, Angel E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2006
Last updated Nov 22nd, 2013 - about 12 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 1710905914 NPPES
Florida MEDICAID 376300501

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