Individual provider · Type 1 NPI

Mario Anthony Ruelas

Rehabilitation Practitioner · San Jose, CA

NPI number 1073249496 Active

Practice location

540 N 1st St
San Jose, CA 95112-5319

Call (408) 261-7777 Map

Fax (408) 259-2273

Mailing address

1027 Clintonia Ave
San Jose, CA 95125-2209

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Rehabilitation Practitioner Primary 225400000XNone listed

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

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About NPI 1073249496

Mario Anthony Ruelas's National Provider Identifier is 1073249496, issued on Jul 27, 2022. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Jose, CA. The record was last updated on May 30, 2025.