Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jorge Luis Rullan Gonzalez, MD

Individual provider Psychosomatic Medicine Physician · NPI 1871026237

Dr. Jorge Luis Rullan Gonzalez, MD is a Psychiatry in San Juan, Puerto Rico. Qualified in 2017, 9 years ago. Practices with Tiber Health Public Benefit Corporation, a 15-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Puerto Rico.

Years since qualifying
9
Licensed in
GA, PR
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

10 Calle Casia
San Juan, PR 00921-3200
Phone: (787) 641-7582
Fax: (787) 641-4555

Additional practice locations (1)

  • 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 — (678) 312-1000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 21305 (PR)
Psychosomatic Medicine Physician Taxonomy 2084P0015X · Licence 101970 (GA)

Record details

NPI number1871026237
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2017
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Tiber Health Public Benefit Corporation — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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