Individual provider Active NPI

Giancarlo Martinez Tellado, MD

  • General Practice Physician
  • Camuy, PR
National Provider Identifier
1124650973
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24052 Issued in PR
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

Updated by the provider on May 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
24052PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camuy Health Services, Inc. General Practice CurrentSince May 9, 2026 Accepting new patients
Camuy Health Services, Inc. PastSince May 9, 2026 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.

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

Verify at the official NPI Registry.