NPIMap

Individual provider Active NPI

Francisco Antonio Viejo Rullan, M.D.

  • Body Imaging Physician
  • Guaynabo, PR
National Provider Identifier
1174892525
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
18540 Issued in PR
Practice address
14 Calle Reina de Las Flores
Estancias de Torrimar
Guaynabo, PR 00966-3162
Phone
(787) 785-8034
NPI assigned
Dec 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 250394 MA
Diagnostic Radiology Physician 2085R0202X 250394 MA
Student in an Organized Health Care Education/Training Program 390200000X
Body Imaging Physician 2085B0100X 18540 PR Primary

Addresses

Primary practice location

14 Calle Reina de Las Flores
Estancias de Torrimar
Guaynabo, PR 00966-3162

Mailing address

14 Calle Reina de Las Flores
Estancias de Torrimar
Guaynabo, PR 00966-3162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130906000282 PR Practitioner - Diagnostic RadiologyPractitioner - Nuclear Medicine 7719133503 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18540PRMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Instituto Medico del Norte Inc CurrentSince Mar 25, 2022 Accepting new patients
Instituto Medico del Norte Inc CurrentSince Mar 25, 2022 Accepting new patients
Mennonite General Hospital Inc CurrentSince Dec 18, 2017 Accepting new patients
Centro de Cancer de la Universidad Diagnostic Radiology CurrentSince Dec 24, 2021 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Dec 18, 2017 Accepting new patients
Advance Digital Image, Corp Diagnostic Radiology CurrentSince Mar 4, 2026 Accepting new patients
Varmed Health Center LLC CurrentSince Nov 9, 2023 Accepting new patients
DJM Imaging Center LLC Diagnostic Radiology Past Accepting new patients
Tesla Radiology LLC Diagnostic Radiology Past Accepting new patients

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1174892525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CALLE REINA DE LAS FLORES",
            "address_2": "ESTANCIAS DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CALLE REINA DE LAS FLORES",
            "address_2": "ESTANCIAS DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663162",
            "telephone_number": "787-785-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEJO RULLAN",
        "first_name": "FRANCISCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-14",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MA",
            "license": "250394",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "250394",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "PR",
            "license": "18540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.