Active NPI
Advanced Gastroenterology, PSC
- Gastroenterology Physician
- Bayamon, PR
National Provider Identifier
1164720975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- ADVANCED GASTROENTEROLOGY, PSC
- Practice address
- 68 Calle Santa Cruz
Torre San Pablo Suite 803B
Bayamon, PR 00961-7031 - Phone
- (787) 288-6998
- NPI assigned
- Mar 2, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ramon M Rullan, MD
- Title
- President
- Phone
- (787) 288-6998
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary | ||
| Rheumatology Physician | 207RR0500X |
Addresses
Primary practice location
68 Calle Santa Cruz
Torre San Pablo Suite 803B
Bayamon, PR 00961-7031
Mailing address
68 Calle Santa Cruz
Torre San Pablo Suite 803B
Bayamon, PR 00961-7031
Phone (787) 288-6998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
68 Calle Santa Cruz
Ste 703
Bayamon, PR 00961
Phone (787) 288-6998
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Bayamon, PR
- NPI 1417930488
-
- Rheumatology Physician
- San Juan, PR
- NPI 1962615203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707868800000",
"number": "1164720975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 CALLE SANTA CRUZ",
"address_2": "TORRE SAN PABLO SUITE 803B",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009617031",
"telephone_number": "787-288-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 CALLE SANTA CRUZ",
"address_2": "TORRE SAN PABLO SUITE 803B",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009617031",
"telephone_number": "787-288-6998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED GASTROENTEROLOGY, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-02",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A",
"authorized_official_last_name": "RULLAN",
"authorized_official_first_name": "RAMON",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-288-6998",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
- Advance Healthcare Alliance, Inc.
- Advance Pain Management & Rehabilitation Institute Inc
- Advanced Electrophysiology Services LLC
- Advanced Endocrinology Center, P.S.C.
- Advanced Endodontic Center LLC
- Advanced Health Solutions PSC
- Advanced Medical Equipment & Services, Inc
- Advanced Pediatric Care, PSC
- Isabel Cristina Agostini-Catala
- Jomarys Ainniz Agosto Cuevas, SPL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.