Pedro J Rullan Marin, MD, FACS

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

8708 Issued in PR

Practice address

735 Ave Ponce de Leon
Torre Auxilio Mutuo # 512
San Juan, PR 00917-5022

Phone

(787) 751-1910

Fax

(787) 282-7131

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Otolaryngology

Education

University of Puerto Rico School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: sjcprullan@yourcarecommunity.org

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.

• Pedro J Rullan Marin Medical Services, CSP

  • Otolaryngology Physician
  • San Juan, PR
  • NPI 1891194478
  NPD (past) Authorized official
• Rullan Sinus Surgical Center LLC

  • Otolaryngology Physician
  • San Juan, PR
  • NPI 1124798939
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1265493001
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1619902582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE AUXILIO MUTUO # 512",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-751-1910",
            "fax_number": "787-282-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 AVE PONCE DE LEON",
            "address_2": "TORRE AUXILIO MUTUO # 512",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175022",
            "telephone_number": "787-751-1910",
            "fax_number": "787-282-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULLAN MARIN",
        "first_name": "PEDRO",
        "middle_name": "J",
        "credential": "MD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "PR",
            "license": "8708",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "PR",
            "license": "8708",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "8708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin L Ruiz, MD
• Natalia Cristina Ruiz, MS
• Solymar Ruiz, PSY.D
• Yaritza Ruiz, CRNA
• Jorge Luis Rullan Gonzalez, M.D.
• Bianca Emilia Rullan Oliver, M.D.
• Rullan Sinus Surgical Center LLC
• Viviana Rullan Varela
• Wendeline Rullan Vega
• Maria Del Carmen Rullan, MD, MPH

• Otolaryngology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Otolaryngology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.