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Individual
DR. GIANCARLO MARTINEZ TELLADO
Active
Individual
DR. GIANCARLO MARTINEZ TELLADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24052
PR
261QP2300X
Primary Care Clinic/Center
Primary
24052
PR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
403184602
PR
Other
Enumeration date
02/10/2020
Last updated
05/06/2026
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