Individual provider Active NPI

Miguel Angel Tello, MD

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1356461719
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M4585 Issued in TX
Practice address
2601 Veterans Dr
Harlingen, TX 78550-8942
Phone
(956) 366-4500
NPI assigned
Mar 30, 2007
Last updated
Nov 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M4585 TX Primary

Addresses

Primary practice location

2601 Veterans Dr
Harlingen, TX 78550-8942

Mailing address

2701 S 77 Sunshinestrip
Harlingen, TX 78550-8318

Other practice location 1

723 Santa Isabel Blvd
Laguna Vista, TX 78578-2647
Phone (956) 296-5889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M4585TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Rio Grande Valley CurrentSince Mar 27, 2022 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1356461719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 S 77 SUNSHINESTRIP",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 VETERANS DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508942",
            "telephone_number": "956-366-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 Santa Isabel Blvd",
            "address_purpose": "LOCATION",
            "city": "Laguna Vista",
            "state": "TX",
            "postal_code": "785782647",
            "country_code": "US",
            "telephone_number": "956-296-5889",
            "fax_number": "956-296-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TELLO",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.