Active NPI
Giancarlo Martinez Tellado, MD
- General Practice Physician
- Camuy, PR
National Provider Identifier
1124650973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24052
- Practice address
- Avenida Luis Munoz Rivera #63
Camuy, PR 00627 - Phone
- (787) 898-2660
- NPI assigned
- Feb 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 24052 | PR | Primary |
Addresses
Primary practice location
Avenida Luis Munoz Rivera #63
Camuy, PR 00627
Mailing address
PO Box 660
Camuy, PR 00627-0660
Phone (787) 898-2660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
Cooperativa Jardines de San Ignacio
Calle San Guillermo Apartamento 1909a
San Juan, PR 00927
PO Box
Suite 660
Camuy, PR 00627
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24052 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camuy Health Services, Inc. | General Practice | Current | Accepting new patients |
| Camuy Health Services, Inc. | Past | Accepting new patients |
Locations
63 Ave Munoz Rivera E
Camuy, PR 00627
Phone (787) 262-6603
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Camuy, PR
- NPI 1437105582
General Practice
-
- Clinical Medical Laboratory
- Camuy, PR
- NPI 1275612780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1124650973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660",
"city": "CAMUY",
"state": "PR",
"postal_code": "006270660",
"telephone_number": "787-898-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVENIDA LUIS MUNOZ RIVERA #63",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-898-2660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ TELLADO",
"first_name": "GIANCARLO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-10",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "24052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.