Angel E. Tejeda, M.D., P.a.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

ME65366 Issued in FL

Legal business name

ANGEL E. TEJEDA, M.D., P.A.

Practice address

4305 E 8TH Ave
Suite C
Hialeah, FL 33013-2465

Phone

(305) 693-6305

Fax

(305) 456-0082

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Angel E Tejeda, M.D.NPI 1710905914

Title

President

Phone

(305) 693-6305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angel E Tejeda, M.D.

  • Nephrology Physician
  • Hialeah, FL
  • NPI 1710905914
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1952604498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 E 8TH AVE",
            "address_2": "SUITE C",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132465",
            "telephone_number": "305-693-6305",
            "fax_number": "305-456-0082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 E 8TH AVE",
            "address_2": "SUITE C",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330132465",
            "telephone_number": "305-693-6305",
            "fax_number": "305-456-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL E. TEJEDA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "TEJEDA",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-693-6305",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME65366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Nephrology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.