Individual provider Active NPI

Rhina A Grullon, MD

  • General Practice Physician
  • Naguabo, PR
National Provider Identifier
1760016893
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21725 Issued in PR
Practice address
Calle Antonio Rios #37
Esquina Munoz Rivera
Naguabo, PR 00718
Phone
(787) 719-6603
NPI assigned
Feb 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 21725 PR Primary

Addresses

Primary practice location

Calle Antonio Rios #37
Esquina Munoz Rivera
Naguabo, PR 00718

Mailing address

PO Box 296
Naguabo, PR 00718-0296
Phone (781) 299-4731

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
I20201012001627 PR Practitioner - General Practice 8729408869 Reassigns benefits to 2 organizations
Practice locations: Fajardo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21725PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PR Healthcare Management Group CurrentSince Nov 1, 2020 Accepting new patients
PR Healthcare Management Group CurrentSince Nov 1, 2020 Accepting new patients
Hospital Menonita de Cayey CurrentSince Dec 1, 2020 Accepting new patients
Hospital Menonita de Cayey General Practice CurrentSince Dec 1, 2020 Accepting new patients

Organizations & group practices 4

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": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1760016893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "007180296",
            "telephone_number": "781-299-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ANTONIO RIOS #37",
            "address_2": "ESQUINA MUNOZ RIVERA",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-719-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRULLON",
        "first_name": "RHINA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "21725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naguabo, PR

Sources for this page

Verify at the official NPI Registry.