Pedro Javier Rullan

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

6012200 Issued in PR

Practice address

W1 Calle Palos Grandes
Guaynabo, PR 00966-2132

Phone

(787) 236-8264

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1235630054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11904",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009221904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W1 CALLE PALOS GRANDES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662132",
            "telephone_number": "787-236-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULLAN",
        "first_name": "PEDRO",
        "middle_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "6012200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iliana Leticia Ruiz, M.H.S.
• Karla Ruiz
• Nancy L. Ruiz, M.A.
• Ramon Antonio Ruiz, M.D.
• William Rodriguez Ruiz, DC
• Reinaldo Ruperto Rosado, 1487B
• Ana Martha Rutzen, O.D.
• RVW Gastroenterology PSC
• RX Depot (La Botica)
• RX Depot, Inc. (La Botica de mi Abuela)

• Student in an Organized Health Care Education/Training Program in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Student in an Organized Health Care Education/Training Program in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.