DR. GIANCARLO MARTINEZ TELLADO MD
NPI 1124650973
General Practice in Camuy, PR

Active since February 10, 2020PECOS Enrolled
AVENIDA LUIS MUNOZ RIVERA #63, CAMUY, PR 00627(787) 898-2660 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2026, Mar 17, 2026, Feb 10, 2020 (3 updates tracked since 2020).

About Dr. Giancarlo Martinez Tellado Md NPPES

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

DR. GIANCARLO MARTINEZ TELLADO MD (NPI 1124650973) is an individual general practice provider in Camuy, Puerto Rico, licensed in Puerto Rico (24052) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124650973
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GIANCARLO MARTINEZ TELLADOCredential: MD
Location AddressAVENIDA LUIS MUNOZ RIVERA #63Camuy, PR 00627
Mailing AddressPo Box 660Camuy, PR 00627-0660 · (787) 898-2660
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 10, 2020
Last NPPES UpdateMay 6, 20263 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
NPI 1124650973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in PR · 24052
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Giancarlo Martinez Tellado Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355815069
PECOS Enrollment IDI20260703000068
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.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Giancarlo Martinez Tellado's NPI number?

The NPI number for Giancarlo Martinez Tellado is 1124650973. It was assigned to this individual provider in the NPPES registry on February 10, 2020.

Where is Giancarlo Martinez Tellado located?

Giancarlo Martinez Tellado practices at Avenida Luis Munoz Rivera #63, Camuy, PR 00627. The listed phone number is (787) 898-2660.

What is Giancarlo Martinez Tellado's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Giancarlo Martinez Tellado enrolled in Medicare?

Yes. Giancarlo Martinez Tellado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Giancarlo Martinez Tellado was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.