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: August 16, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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