Individual provider Active NPI

Ramon Rullan, M.D.

  • Gastroenterology Physician
  • Bayamon, PR
National Provider Identifier
1417930488
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
16422 Issued in PR
Practice address
#68 Calle Santa Cruz- Torre San Pablo
Suite 703
Bayamon, PR 00961
Phone
(787) 288-6998
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 16422 PR Primary
Internal Medicine Physician 207R00000X 16422 PR

Addresses

Primary practice location

#68 Calle Santa Cruz- Torre San Pablo
Suite 703
Bayamon, PR 00961

Mailing address

#68 Calle Santa Cruz- Torre San Pablo
Suite 704
Bayamon, PR 00961
Phone (787) 288-6998

Other identifiers 1

IdentifierTypeStateIssuer
0186279MedicaidMA

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
I20071030000554 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 2062448921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Gastroenterology, PSCGroup PAC ID 8527245943, 2 clinicians

Practice addresses (Care Compare)

1215 Ave Ponce de Leon
Suite 301 Vig Plaza
San Juan, PR 00961-7031

68 Calle Santa Cruz
Bayamon, PR 00961

68 Calle Santa Cruz
Bayamon, PR 00961-7031
Phone (787) 288-6998

88 Calle Santa Cruz
Torre San Pablo Suite 803B
Bayamon, PR 00961

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy55
Upper gastrointestinal (GI) endoscopy for acid reflux40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Medical Group, Inc Internal Medicine PastSince Oct 15, 2007 Accepting new patients
Umass Memorial Medical Group Inc Internal Medicine Past Accepting new patients

Organizations & group practices 3

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1417930488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#68 CALLE SANTA CRUZ- TORRE SAN PABLO",
            "address_2": "SUITE 704",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-288-6998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#68 CALLE SANTA CRUZ- TORRE SAN PABLO",
            "address_2": "SUITE 703",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-288-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULLAN",
        "first_name": "RAMON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "16422",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "16422",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186279",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.