Provider Demographics
NPI:1275788028
Name:TEJEDOR, BEGONA (MD)
Entity Type:Individual
Prefix:DR
First Name:BEGONA
Middle Name:
Last Name:TEJEDOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1527
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1527
Mailing Address - Country:US
Mailing Address - Phone:787-785-6943
Mailing Address - Fax:
Practice Address - Street 1:248 CALLE REINA MORA
Practice Address - Street 2:MONTEHIEDRA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7108
Practice Address - Country:US
Practice Address - Phone:787-731-5728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10737207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology