Provider Demographics
NPI:1063597953
Name:RULLAN, MARIA DEL CARMEN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DEL CARMEN
Last Name:RULLAN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15-7 CALLE GRANADA
Mailing Address - Street 2:TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3114
Mailing Address - Country:US
Mailing Address - Phone:787-792-7912
Mailing Address - Fax:
Practice Address - Street 1:CALLE PERIFERAL , BARRIO MONACILLOS
Practice Address - Street 2:CENTRO MEDICO DE PUERTO RICO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-274-5690
Practice Address - Fax:787-282-7274
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6318174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist