MEDICARE: BELEN M RULLAN SIERRA OPTICO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FX1800X	Optician	820	PR

General Provider Information

NPI Number	:	1225920507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELEN M RULLAN SIERRA OPTICO

Provider Business Mailing Address
First Line	:	3127 AVE JULIO E MONAGAS
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00717-2204
Country	:	US
Telephone Number	:	939-222-5983
Fax Number	:

Provider Business Practice Location Address
First Line	:	3127 AVE JULIO E MONAGAS
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00717-2204
Country	:	US
Telephone Number	:	939-222-5983
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2025
Last Update Date	:	01/17/2026

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Directions to “ BELEN M RULLAN SIERRA OPTICO” Practice Location

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