Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 22528 | PR |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD470238 | PA |
NPI | 1053780387 |
---|---|
Provider Name | Bianca Emilia Rullan Oliver |
First Address | San Juan, PR 00917-5027 |
Second Address | San Juan, PR 00917-5027 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2015 |
Last Update Date | 01/11/2021 |