| Doctor Name: | DR. JOHNNY ONGAY RULLAN |
| NPI Number: | 1710944665 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 11690 |
| Business Practice Address: | 349 Calle Mendez Vigo Suite 10 Dorado, PR - 006464917 |
| Business Phone Number: | 7872781062 |
| Business Fax Number: | 7872780936 |
| Mailing Address: | 349 Calle Mendez Vigo, Suite 10 DORADO |
| State: | PR |
| Postal Code: | 006464917 |
| Phone Number: | 7876148905 |
| Fax Number: | 7872780936 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 10/01/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 11690 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |