# ADVANCED GASTROENTEROLOGY, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164720975
- **Authorized official:** DR. RAMON M RULLAN MD (PRESIDENT)
- **Authorized official phone:** (787) 288-6998

## Contact information

- **Practice address:** 68 CALLE SANTA CRUZ, TORRE SAN PABLO SUITE 803B, BAYAMON, PR 00961-7031
- **Practice address phone:** (787) 288-6998
- **Mailing address:** 68 CALLE SANTA CRUZ, TORRE SAN PABLO SUITE 803B, BAYAMON, PR 00961-7031
- **Mailing address phone:** (787) 288-6998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |
| 207RR0500X | Rheumatology Physician | — | NULL | — |
| 207RR0500X | Rheumatology Physician | — | — | — |

## Other

- **Enumeration date:** 03/02/2011
- **Last updated:** 02/14/2024