Norma Iris De Leon-Tellado, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2677 Issued in PR

Practice address

255 Calle Eleonor Roosevelt
San Juan, PR 00918-2806

Phone

(787) 763-9190

NPI assigned

Apr 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• MG Dental Care P.S.C.

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1417318684
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689639932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 36 BOX 8233",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269562",
            "telephone_number": "787-717-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 CALLE ELEONOR ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182806",
            "telephone_number": "787-763-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON-TELLADO",
        "first_name": "NORMA",
        "middle_name": "IRIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUM. PROVEEDOR TRIPLE S",
            "identifier": "42518",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUM. PROVEEDOR MENONITA",
            "identifier": "D000210",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUM. PROVEEDOR IMC",
            "identifier": "P-890",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUM. PROVEEDOR HUMANA",
            "identifier": "739 0060",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra De Leon Segarra, PHYSICIAN ASSISTANT
• Andrea Michelle De Leon Tejeda
• Nicolle Franchesca De Leon Tellado, M.D.
• Ramon Antonio De Leon-Berras, M.D.
• Tatiana M De Leon-Rodriguez, PHD
• Gladys Yamira De Leon, PH.D
• Maridolores De Leon, M.D.
• Nanette Michelle De Leon, M.D.
• Sylvette De Leon, M.D.
• Teresita De Leon, M.D.

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.