Most Relevant Information
Provider Data
| NPI Number: | 1003079732 |
| Provider Name: | LUIS A TELLEZ LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA 52691 |
Most Important Dates
| Enumeration Date: | 07/02/2008 |
| Last Updated: | 07/02/2008 |
Provider Practice Location
9085 SW 87TH AVE
SUITE # 201
MIAMI
FL
33176
Practice Location Phone/Fax
| Phone: | 3053169777 |
| Fax: | 3052702284 |
Provider Mailing Location
3172 SW 27TH AVE
UNIT # 1
COCONUT GROVE
FL
331334636
Provider Mailing Phone/Fax
| Phone: | 3053160777 |
| Fax: |