MARIO ANTHONY RUELAS
NPI 1073249496
Rehabilitation Practitioner in San Jose, CA

Q: What is the provider's specialty?

The provider's specialty is Rehabilitation Practitioner with taxonomy code 225400000X.

Active since July 27, 2022

540 N 1ST ST, SAN JOSE, CA 95112(408) 261-7777(408) 259-2273 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 30, 2025, Aug 14, 2022, Jul 27, 2022 (3 updates tracked since 2022).

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About Mario Anthony Ruelas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIO ANTHONY RUELAS (NPI 1073249496) is an individual rehabilitation practitioner in San Jose, California and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1073249496

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameMARIO ANTHONY RUELAS

Location Address540 N 1ST STSan Jose, CA 95112-5319

Mailing Address1027 Clintonia AveSan Jose, CA 95125-2209 · (408) 499-6413

Phone(408) 261-7777

Fax(408) 259-2273

Sole ProprietorYes

Enumeration DateJuly 27, 2022

Last NPPES UpdateMay 30, 20253 updates tracked since enumeration

NPPES CertifiedMay 30, 2025

✔ NPI 1073249496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

540 N 1ST ST, San Jose, CA 95112

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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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