| Doctor Name: | DR. VICTORINO RODRIGUEZ TELERON |
| NPI Number: | 1245273879 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 12967 |
| Business Practice Address: | 116 W 3rd Ave Williamson, WV - 256613108 |
| Business Phone Number: | 3042365911 |
| Business Fax Number: | 3042365942 |
| Mailing Address: | 250 Whispering Woods Rd, CHARLESTON |
| State: | WV |
| Postal Code: | 253042760 |
| Phone Number: | 3049256767 |
| Fax Number: | 3049256767 |
| NPI Enumeration Date: | 06/13/2006 |
| NPI Last Update Date: | 06/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0401X |
| License Number: | 12967 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WV |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Addiction Medicine |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |