Dr. Giancarlo Martinez Tellado, MD
General Practice in Camuy, PR. Individual provider (NPI-1).
NPI number1124650973
StatusActive
Last updated in NPPESMay 6, 2026
Details
- NPI
- 1124650973
- Entity type
- Individual (NPI-1)
- Name
- Dr. Giancarlo Martinez Tellado
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 10, 2020
- Certification date
- May 6, 2026
- Last updated
- May 6, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 24052 | PR | Yes |
Practice location
Avenida Luis Munoz Rivera #63Camuy, PR 00627
Phone 787-898-2660
Mailing address
Po Box 660Camuy, PR 00627-0660
Phone 787-898-2660
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