Individual provider Active NPI

Jaime Ongay Rullan, M.D.

  • General Practice Physician
  • Santa Isabel, PR
National Provider Identifier
1154355931
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14976 Issued in PR
Practice address
89 Calle Hostos
Santa Isabel, PR 00757-2660
Phone
(787) 402-4343
Fax
(787) 740-6261
NPI assigned
Jul 10, 2006
Last updated
May 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14976 PR Primary

Addresses

Primary practice location

89 Calle Hostos
Santa Isabel, PR 00757-2660

Mailing address

Urb Puerto Galexda
Calle Marbella #9
Penuelas, PR 00624-3144
Phone (787) 402-4343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060821000122 PR Practitioner - General Practice 8123021755 Practice locations: Santa Isabel, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Municipio de Santa Isabel CurrentSince Sep 1, 2025 Accepting new patients
Municipio de Santa Isabel CurrentSince Sep 1, 2025 Accepting new patients

Locations

89 Calle Hostos
Santa Isabel, PR 00757
Phone (787) 845-4040

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1154355931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB PUERTO GALEXDA",
            "address_2": "CALLE MARBELLA #9",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006243144",
            "telephone_number": "787-402-4343",
            "fax_number": "787-815-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 CALLE HOSTOS",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007572660",
            "telephone_number": "787-402-4343",
            "fax_number": "787-740-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONGAY RULLAN",
        "first_name": "JAIME",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Isabel, PR

Sources for this page

Verify at the official NPI Registry.