Organization Active NPI

Rullan Sinus Surgical Center LLC

  • Otolaryngology Physician
  • San Juan, PR
National Provider Identifier
1124798939
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
RULLAN SINUS SURGICAL CENTER LLC
Practice address
735 Ave Ponce de Leon Ste 512
San Juan, PR 00917-5027
Phone
(787) 751-1910
Fax
(787) 282-7131
NPI assigned
Sep 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bianca Rullan Oliver, MDNPI 1053780387
Title
President
Phone
(787) 501-0002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

735 Ave Ponce de Leon Ste 512
San Juan, PR 00917-5027

Mailing address

735 Ave Ponce de Leon Ste 512
San Juan, PR 00917-5027
Phone (787) 751-1910

National Provider Directory

National Provider Directory

Locations

735 Ave Ponce de Leon
Ste 512
San Juan, PR 00917
Phone (787) 751-1910

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1124798939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 512",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175027",
            "telephone_number": "787-751-1910",
            "fax_number": "787-282-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON STE 512",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175027",
            "telephone_number": "787-751-1910",
            "fax_number": "787-282-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RULLAN SINUS SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "RULLAN OLIVER",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-501-0002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.