NICOLLE FRANCHESCA DE LEON TELLADO M.D.
NPI 1063614774
Radiology - Diagnostic Radiology in San Juan, PR

Q: What is Nicolle De Leon Tellado's NPI number?

The NPI number for Nicolle De Leon Tellado is 1063614774. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Q: What is Nicolle De Leon Tellado's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Active since June 04, 2007PECOS EnrolledAccepts Medicare Assignment

1462 CALLE PROF AUGUSTO RODRIGUEZ, SAN JUAN, PR 00909(787) 641-1616 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 27, 2026, Aug 4, 2025, Aug 24, 2021 and 4 more (7 updates tracked since 2016).

On this page

About Nicolle Franchesca De Leon Tellado M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLLE FRANCHESCA DE LEON TELLADO M.D. (NPI 1063614774) is an individual diagnostic radiology provider in San Juan, Puerto Rico, licensed in Puerto Rico (17091) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Hospital Menonita De Cayey, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1063614774

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameNICOLLE FRANCHESCA DE LEON TELLADOCredential: M.D.

Location Address1462 CALLE PROF AUGUSTO RODRIGUEZSan Juan, PR 00909-2199

Mailing Address1785 Carr 21San Juan, PR 00921-3399 · (787) 782-9999

Phone(787) 641-1616

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJune 4, 2007

Last NPPES UpdateMarch 27, 20267 updates tracked since enumeration

NPPES CertifiedMarch 27, 2026

✔ NPI 1063614774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in PR · 17091

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 17091 (PR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 17091 (PR)

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicolle Franchesca De Leon Tellado M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456641018

PECOS Enrollment IDI20220303001128

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Nicolle De Leon Tellado reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Centro De Cancer De La Universidad

Hematology & Oncology

PR 21 INT PR18, BO MONACILLO
San Juan, PR 00927

Reassigned Medicare billing, Puerto Rico enrollment
87 clinicians in this Medicare group

NPI 1215418751 (787) 772-8300

Hospital Menonita De Cayey

Specialist

RINCO INTERIOR 14ST
Cayey, PR 00737

Reassigned Medicare billing, Puerto Rico enrollment
162 clinicians in this Medicare group

NPI 1255461893 (787) 535-1001

Instituto Medico Del Norte Inc

General Acute Care Hospital

ROAD #2 KM 39.5
Vega Baja, PR 00693

Reassigned Medicare billing, Puerto Rico enrollment
53 clinicians in this Medicare group

NPI 1154309169 (787) 858-2580

M & P Radiologos, LLC

Body Imaging

MANUEL PAVIA STREET, 617
San Juan, PR 00909

Reassigned Medicare billing, Puerto Rico enrollment
42 clinicians in this Medicare group

NPI 1043287055 (787) 727-5381

Metro Mayaguez Inc

General Acute Care Hospital

#15 DR BASORA STREET
Mayaguez, PR 00680

Reassigned Medicare billing, Puerto Rico enrollment
15 clinicians in this Medicare group

NPI 1821082918 (787) 834-0101

Montehiedra Ct & Mri Center LLC.

Radiology

9484 AVE LOS ROMERO, STE 205
San Juan, PR 00926

Reassigned Medicare billing, Puerto Rico enrollment
3 clinicians in this Medicare group

NPI 1093820086 (787) 708-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hospital Menonita De Cayey

Acute Care Hospitals · Cayey, PR

OwnershipVoluntary non-profit - Private

CMS Certification Number400013

LocationBo. Rincon Sector Las Lomas Km.3.1 Carr 14Cayey, PR 00737 · Cayey County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.07 typical visit price

range $56.86 – $172.44

Typical copayment $22.01 (range $14.21 – $43.11)

Most-billed visit code 99203

Established Patient

$70.88 typical visit price

range $18.24 – $140.44

Typical copayment $17.72 (range $4.56 – $35.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DO HEALTH & WELLNESS LLC

General Practice