Active NPIIndividual provider

Nicolle F De Leon Tellado, MD

Radiology, Diagnostic Radiology in San Juan, Puerto Rico

NPI Number1063614774
Practice location
1462 Calle Prof Augusto Rodriguez, San Juan, PR 00909-2199
Fax
—
Last updated
March 27, 2026

Nicolle Franchesca De Leon Tellado is a Radiology, Diagnostic Radiology based in San Juan, PR. Nicolle Franchesca De Leon Tellado practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Nicolle Franchesca De Leon Tellado is 1063614774 and holds a License No. 17091 (PR). The current practice location address for Nicolle Franchesca De Leon Tellado is 1462 Calle Prof Augusto Rodriguez, San Juan, PR 00909-2199 and can be reached out via phone at 787-641-1616.

Provider Profile Details

NPI Number
1063614774
Provider Name
Nicolle Franchesca De Leon Tellado
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1462 Calle Prof Augusto Rodriguez, San Juan, PR 00909-2199
Phone Number
787-641-1616
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2007
Last Update Date
March 27, 2026
Certification Date
March 27, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1462 Calle Prof Augusto Rodriguez
San Juan, PR 00909-2199
Zip
00909-2199
Phone Number
787-641-1616
San Juan, PR 00909Get directions →

Provider Business Mailing Address Details

Address
1785 Carr 21
San Juan, PR 00921-3399
City
San Juan
State
PR
Zip
00921-3399
Phone Number
787-782-9999

License Information

License Number (1)
17091
License State (1)
PR
Taxonomy (1)
General Practice · 208D00000X
License Number (2)
17091
License State (2)
PR
License Number (3)
17091
License State (3)
PR
Taxonomy (3)
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicolle F De Leon Tellado, MD?

The NPI number of Nicolle F De Leon Tellado, MD is 1063614774. It was assigned on June 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Nicolle F De Leon Tellado, MD?

Nicolle F De Leon Tellado, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in PR under license number 17091.

Where does Nicolle F De Leon Tellado, MD practice?

The practice location is 1462 Calle Prof Augusto Rodriguez, San Juan, PR 00909-2199. The office can be reached at 787-641-1616 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063614774 directly on the NPPES registry website.

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