Juan Jose Tull Abreu, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

13962 Issued in PR

Practice address

Carr 602 KM 0.5
Bo Angeles
Angeles, PR 00611

Phone

(787) 814-4318

Fax

(787) 814-4318

NPI assigned

Feb 16, 2007

Last updated

Sep 19, 2011By 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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

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  • Diagnostic Radiology Physician
  • San Sebastian, PR
  • NPI 1053397943

  General Practice

  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1407990039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 16 Q4 URB VISTA AZUL",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "787-814-4318",
            "fax_number": "787-814-4318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 602 KM 0.5",
            "address_2": "BO ANGELES",
            "city": "ANGELES",
            "state": "PR",
            "postal_code": "00611",
            "telephone_number": "787-814-4318",
            "fax_number": "787-814-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULL ABREU",
        "first_name": "JUAN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Nunez Arce, PHARMACY TECHNICIAN
• Wilmary Rios Maldonado
• Carlos Oscar Romero Ramos, MD
• Leslie Mercedes Sanchez, SLT
• Sara Angelica Sustache
• Felipe Antonio Velez Gonzalez, M.D.
• Xavier Ambulance

• General Practice Physician in Angeles, PR
• Providers in Angeles, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.