MAYRA RULLAN OD
NPI 1962604777
Optometrist in San Juan, PR

Active since June 04, 2007PECOS Enrolled
118 CALLE ELEONOR ROOSEVELT, IAU SCHOOL OF OPTOMETRY, SAN JUAN, PR 00918(787) 765-1915 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mayra Rullan Od NPPES

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

MAYRA RULLAN OD (NPI 1962604777) is an individual optometrist in San Juan, Puerto Rico, licensed in Puerto Rico (146) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962604777
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMAYRA RULLANCredential: OD
Location Address118 CALLE ELEONOR ROOSEVELT, IAU SCHOOL OF OPTOMETRYSan Juan, PR 00918-3105
Mailing Address148 Calle Miramonte, Gran Vista IGurabo, PR 00778-5007 · (787) 765-1915
Sole ProprietorNo
Enumeration DateJune 4, 2007
Last NPPES UpdateOctober 16, 2012
NPI 1962604777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in PR · 146
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

118 CALLE ELEONOR ROOSEVELT, San Juan, PR 00918

Other Names 1

Other Name (5)Dr. Mayra Rullan Rivera O.d

Other Identifiers 1

Medicare UPINU79100PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mayra Rullan Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00918 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Optometrist
118 CALLE ELEONOR ROOSEVELT
SAN JUAN, PR 00918
Optometrist
118 CALLE ELEONOR ROOSEVELT
SAN JUAN, PR 00918
Optometrist
118 CALLE ELEONOR ROOSEVELT
SAN JUAN, PR 00918
Counselor (Professional)
118 CALLE ELEONOR ROOSEVELT
SAN JUAN, PR 00918

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962604777, enumerated as an "individual" on June 04, 2007.

The provider is located at 118 CALLE ELEONOR ROOSEVELT IAU SCHOOL OF OPTOMETRY SAN JUAN, PR 00918 and the phone number is (787) 765-1915.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.