Pedro J Rullan Marin Medical Services, CSP

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

8708 Issued in PR

Legal business name

PEDRO J RULLAN MARIN MEDICAL SERVICES, CSP

Practice address

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

Phone

(787) 751-1910

NPI assigned

Aug 19, 2014

Last updated

Aug 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pedro J Rullan Marin, MD, FACSNPI 1619902582

Title

Owner

Phone

(787) 751-1910

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pedro J Rullan Marin, MD, FACS

  • Otolaryngology Physician
  • San Juan, PR
  • NPI 1619902582
  NPD (past) Authorized official
• Sheilla B. Ocasio Arce, AUD

  • Audiologist
  • San Juan, PR
  • NPI 1336334226
  NPD (past)
• Bianca Emilia Rullan Oliver, M.D.

  • Otolaryngology Physician
  • San Juan, PR
  • NPI 1053780387
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1891194478",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO J RULLAN MARIN MEDICAL SERVICES, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "RULLAN MARIN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-751-1910",
        "authorized_official_credential": "MD, FACS"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "8708",
            "primary": true
        },
        {
            "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
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0081379",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rene Arturo Pedraza Espada
• Grisel Marie Pedraza-Rosa, M.D.
• Caroline M Pedraza, MSW
• Lourdes R. Pedraza, MD
• Pedro Aponte Muniz
• Pedro Palou Bosh OB-GYN PSC
• Elsa M Pedro, PHARM D, BCPS, BCOP
• Yasmin Pedrogo, MD
• Orlando Pedrosa, PH.D.
• Alexandra M Pedroza, DC

• 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 Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.