Provider Demographics
NPI:1508995283
Name:MULERO-PORTELA, ANA L (PHD, MS, PT)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:L
Last Name:MULERO-PORTELA
Suffix:
Gender:F
Credentials:PHD, MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 365067
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-5067
Mailing Address - Country:US
Mailing Address - Phone:787-758-2525
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSIDAD DE PUERTO RICO, RCM, AREA CENTRO MEDICO
Practice Address - Street 2:EDIF ESCUELA DE PROFESIONES DE SALUD, PISO 6, OFF 644
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1112399225100000X
PR810225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist