Active NPI
Leida M Rullan
- Pharmacist
- Hato Rey, PR
National Provider Identifier
1093851578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4744
- Practice address
- 486 Ave. Barbosa First Pharmacy #4
Hato Rey, PR 00917 - Phone
- (787) 764-9981
- NPI assigned
- Jan 30, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4744 | PR | Primary |
Addresses
Primary practice location
486 Ave. Barbosa First Pharmacy #4
Hato Rey, PR 00917
Mailing address
Calle Cordova #8
Paseo de la Alhambra
Carolina, PR 00987
Phone (787) 701-2986
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4744 | Other | PR | PR PHARMACY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4744 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093851578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE CORDOVA #8",
"address_2": "PASEO DE LA ALHAMBRA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "00987",
"telephone_number": "787-701-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "486 AVE. BARBOSA FIRST PHARMACY #4",
"city": "HATO REY",
"state": "PR",
"postal_code": "00917",
"telephone_number": "787-764-9981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RULLAN",
"first_name": "LEIDA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4744",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PR PHARMACY LICENSE",
"identifier": "4744",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hato Rey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.