Individual
DR. GIANCARLO MARTINEZ TELLADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
AVENIDA LUIS MUNOZ RIVERA #63, CAMUY, PR 00627
(787) 898-2660
Mailing address
PO BOX 660, CAMUY, PR 00627-0660
(787) 898-2660
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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