PEDRO J RULLAN MARIN (NPI# 1619902582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619902582 |
| Entity Type | Individual |
| Full Name | PEDRO J RULLAN MARIN |
| Credential | MD, FACS |
| Practice Address |
735 Ave Ponce De Leon Torre Auxilio Mutuo # 512 San Juan PR 00917-5022 |
| Practice Telephone | 7877511910 |
| Practice Fax Number | 7872827131 |
| Mailing Telephone | 7877511910 |
| Mailing Fax Number | 7872827131 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 8708 | PR | Allopathic & Osteopathic Physicians |
| N | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
8708 | PR | Allopathic & Osteopathic Physicians |
| N | 207YX0007X |
Otolaryngology Specialization: Plastic Surgery within the Head & Neck |
8708 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
735 AVE PONCE DE LEON TORRE AUXILIO MUTUO # 512 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00917-5022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900093 | Ismael Torres Rosario | Internal Medicine | 735 Ave Ponce De Leon, Ste 408, San Juan, PR 00917-5025 | 2005-05-23 |
| 1699309161 | Oncology & Body Imaging Psc | Radiology | 735 Ave Ponce De Leon, San Juan, PR 00917-5022 | 2020-02-24 |
| 1881181394 | Leduard Leon Pons Sr. | Student in an Organized Health Care Education/Training Program | 735 Ave Ponce De Leon, San Juan, PR 00917-5022 | 2018-04-19 |
| 1326598426 | Gi Med Consulting LLC | Internal Medicine | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo Ste 816, San Juan, PR 00918 | 2016-10-12 |
| 1780034421 | Sanglan Pediatric Surgery LLC | Surgery | 735 Ave Ponce De Leon, Clinicas Pediatricas Hospital Auxilio Mutuo, San Juan, PR 00917-0000 | 2016-06-14 |
| 1407223308 | Dra Lilliana Ramirez Garcia P.s.c. | Dermatology | 735 Ave Ponce De Leon, Suite 209, San Juan, PR 00917-5022 | 2015-08-26 |
| 1962885871 | Specialized Medical Group Inc | Internal Medicine | 735 Ave Ponce De Leon, Suite 715, San Juan, PR 00917-5022 | 2015-07-09 |
| 1366821126 | Ym Gastro LLC | Internal Medicine | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo 707, San Juan, PR 00917-5022 | 2015-05-27 |
| 1639568132 | Liz M Betancourt | Psychologist | 735 Ave Ponce De Leon, Torre Medica De Auxlio Mutuo Suite 203, San Juan, PR 00917 | 2015-01-21 |
| 1396143673 | Optica Visual Corner | Eyewear Supplier (Equipment, not the service) | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo Ste. 25, San Juan, PR 00917-5022 | 2014-12-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805744 | Enox E Alvarez-garcia | Acupuncturist | 229 Calle Juan P. Duarte Oficina 2a, Altos Cooperativa Hermanos Unidos, San Juan, PR 00917 | 2020-09-09 |
| 1427662881 | Nelly Alfonsina Cetraro | Student in an Organized Health Care Education/Training Program | Goberndor Pinero, Centro Medico De Puerto Rico, Bo. Monacillos., San Juan, PR 00917 | 2020-09-03 |
| 1912520834 | Yolanda Alvarez Pando | Student in an Organized Health Care Education/Training Program | 715 Ave Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-27 |
| 1295358240 | Orestes Quinones | Student in an Organized Health Care Education/Training Program | 715 Ave. Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-26 |
| 1992330831 | Ernie Diaz Rivera | Student in an Organized Health Care Education/Training Program | Condominio Floral Plaza, Apt 1203, Calle Los Pinos 429, San Juan, PR 00917 | 2020-03-11 |
| 1235763368 | Gisela Robles | Pharmacist | Mcs Healthcare Holdings, LLC, 255 Avenida De La Construccion, San Juan, PR 00917 | 2020-02-27 |
| 1144854530 | Marangelly Delgado-lopez | Student in an Organized Health Care Education/Training Program | Ave. Americo Miranda Bo. Monacillos, Predios Centro Medico, San Juan, PR 00917 | 2020-02-25 |
| 1467090472 | Rafael Rivera | Psychologist | Ponce De Leon Ave. #435, Hato Rey, San Juan, PR 00917 | 2019-12-20 |
| 1801432372 | Ruth E Arias Sr. | Nutritionist | Bda Buena Vista Calle D, 261, San Juan, PR 00917 | 2019-11-20 |
| 1437702032 | Lydia L Figueroa | Pediatrics | Ave Americo Miranda Bo Monacillos Hmsj, Educacion Medica Graduada 2do Piso, San Juan, PR 00917 | 2019-07-23 |
| Find all providers in zip 00917 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982124145 | Jpm Ent Surgical LLC | Otolaryngology | Avenida Ashford #1451, San Juan, PR 00902 | 2017-06-20 |
| 1346654324 | Gary G Montalvo Petrovich LLC | Otolaryngology | 400 Ave Domenech Ste 506, Las Americas Prof Center, San Juan, PR 00918-0000 | 2014-06-17 |
| 1912326752 | Gabriel Hernandez Martin | Otolaryngology | Ashford Medical Tower Suite 805, 29 Washington Street, San Juan, PR 00907 | 2014-04-09 |
| 1306265269 | Shayanne Alexander Lajud Guerrero | Otolaryngology | Oto Hns School of Medicine, Suite A972 Main Bldg Recinto Ciencias Medicas, San Juan, PR 00935 | 2014-04-08 |
| 1093132920 | Prnsi LLC | Otolaryngology | 299 Pinero Avenue, Urb Hyde Park, San Juan, PR 00927-3900 | 2014-03-28 |
| 1710326723 | Mariana Judith Ortiz Martinez | Otolaryngology | 1789 Carretera 21, Torre Hospital Metropolitano Suite 309, San Juan, PR 00921 | 2013-06-24 |
| 1750512604 | Javier Gonzalez | Otolaryngology | 888 Ave Ashford, Apt 9, San Juan, PR 00907-1007 | 2009-07-27 |
| 1568657930 | Paulette C. Pacheco-lopez | Otolaryngology | 3950 Carr 176, Garden Valley Club Apt 108, San Juan, PR 00926-6737 | 2007-09-10 |
| 1790844348 | Jose M Bird | Otolaryngology | Cond. Torre De Auxilio Mutuo, Suite 711 Ave. Ponce De Leon # 735, San Juan, PR 00917-5030 | 2006-12-08 |
| 1104910793 | Jog Otolaryngology Services Csp | Otolaryngology | 29 Washington Suite 105, Ashford Medical Center, San Juan, PR 00907 | 2006-10-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.