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Organization
PEDRO J RULLAN MARIN MEDICAL SERVICES, CSP
Active
Organization
PEDRO J RULLAN MARIN MEDICAL SERVICES, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PEDRO J RULLAN MARIN MD, FACS (OWNER)
(787) 751-1910
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON, TORRE AUXILIO MUTUO # 512, SAN JUAN, PR 00917-5022
(787) 751-1910
Mailing address
735 AVE PONCE DE LEON, TORRE AUXILIO MUTUO # 512, SAN JUAN, PR 00917-5022
(787) 751-1910
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
8708
PR
207YP0228X
Pediatric Otolaryngology Physician
8708
PR
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
8708
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0081379
PTAN
PR
Enumeration date
08/19/2014
Last updated
08/19/2014
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