Antonio J Jelu, M.D.

Individual provider Active NPI Pediatrics Physician · Ciales, PR

NPI 1295703304 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1295703304
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
3980 (PR)
Practice address
Road 149 KM 12.3
Ciales, PR 00638
Phone
(787) 871-0601
Fax
(787) 871-3960
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 12

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3980PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Prymed Medical Care Inc Past Accepting new patients
Prymed Medical Care Inc Past Accepting new patients
Prymed Salud Mental Ciales Past Accepting new patients
Prymed Medical Care, Inc Past Accepting new patients
Prymed Medical Care Inc Past Accepting new patients
Prymed Medical Care Inc Past Accepting new patients
Prymed Medical Care, Inc Pediatrics Past Accepting new patients
Farmacia Prymed Past Accepting new patients
Prymed Medical Care, Inc Past Accepting new patients
Prymed Medical Care Inc Past Accepting new patients
Prymed Salud Mental Vega Baja Past Accepting new patients
Rayosx Prymed Medical Care, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIDHBD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 3980 PR Yes

Addresses

Primary practice location

Road 149 KM 12.3
Ciales, PR 00638

Mailing address

PO Box 1427
Ciales, PR 00638-1427
Phone (787) 871-0601

Other identifiers

IdentifierTypeStateIssuer
84488OtherPRMEDICAL SERVICE

Other providers in Ciales, PR

All providers in Ciales, PR · Pediatrics Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.