Johnny Ongay Rullan, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11690 Issued in PR

Practice address

349 Calle Mendez Vigo
Suite 10
Dorado, PR 00646-4917

Phone

(787) 278-1062

Fax

(787) 278-0936

NPI assigned

Apr 26, 2006

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

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

General Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Centro Diagnostico Y Tratamiento Dr Caparros Inc

  • Clinical Medical Laboratory
  • Utuado, PR
  • NPI 1144358169
  NPD (past)
• Centro Diagnostico Y Tratamiento Dr Caparros Inc.

  • General Practice Physician
  • Utuado, PR
  • NPI 1659330884
  NPD (past)
• Groupo Medico 340 CSP

  • General Practice Physician
  • Dorado, PR
  • NPI 1750509154
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1710944665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 CALLE MENDEZ VIGO",
            "address_2": "SUITE 10",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464917",
            "telephone_number": "787-614-8905",
            "fax_number": "787-278-0936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 CALLE MENDEZ VIGO",
            "address_2": "SUITE 10",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464917",
            "telephone_number": "787-278-1062",
            "fax_number": "787-278-0936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONGAY RULLAN",
        "first_name": "JOHNNY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "11690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Numendo
• Xiomaris Rodriguez Nunez
• Ogo Dorado, LLC
• Nydia Enid Olivo Cruz, THL
• One Stop Prescription El Monte Inc
• Optica LM LLC
• Optilook
• Optilook
• Optima Health RX, LLC
• Optima Infusion Pharmacy Inc

• General Practice Physician in Dorado, PR
• Providers in Dorado, 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 Oct 1, 2007; 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.