Provider Demographics
NPI:1629245519
Name:AULET, JUAN NEFTALI (MD)
Entity Type:Individual
Prefix:DR
First Name:JUAN
Middle Name:NEFTALI
Last Name:AULET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15040 CALLE UCAR
Mailing Address - Street 2:PASEO DE JACARANDA
Mailing Address - City:SANTA ISABEL
Mailing Address - State:PR
Mailing Address - Zip Code:00757-9600
Mailing Address - Country:US
Mailing Address - Phone:787-601-9599
Mailing Address - Fax:
Practice Address - Street 1:SUITE 1, AVE. LOS VETERANOS
Practice Address - Street 2:HOSPITAL SANTA ROSA 1
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-4008
Practice Address - Country:US
Practice Address - Phone:787-516-3111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-11
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17150202C00000X, 207PE0004X, 207PP0204X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
No207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine