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NPI Code Detail

MEDICARE: NICOLLE FRANCHESCA DE LEON TELLADO M.D.

MEDICARE:   NICOLLE FRANCHESCA DE LEON TELLADO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician17091PR
2390200000XStudent in an Organized Health Care Education/Training Program17091PR
32085R0202XDiagnostic Radiology Physician17091PR

General Provider Information

NPI Number : 1063614774
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLLE FRANCHESCA DE LEON TELLADO M.D.
Provider Business Mailing Address
First Line : 1785 CARR 21
Second Line :
City : SAN JUAN
State : PR
Zip : 00921-3399
Country : US
Telephone Number : 787-782-9999
Fax Number :
Provider Business Practice Location Address
First Line : 1462 CALLE PROF AUGUSTO RODRIGUEZ
Second Line :
City : SAN JUAN
State : PR
Zip : 00909-2199
Country : US
Telephone Number : 787-641-1616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2007
Last Update Date : 03/27/2026

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Directions to “ NICOLLE FRANCHESCA DE LEON TELLADO M.D.” Practice Location

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