Provider Demographics
NPI:1760941439
Name:MULERO SIERRA, JAVIER (DC)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:
Last Name:MULERO SIERRA
Suffix:
Gender:M
Credentials:DC
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 2734
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-2734
Mailing Address - Country:US
Mailing Address - Phone:787-718-7568
Mailing Address - Fax:
Practice Address - Street 1:FAJARDO MARKET SQUARE
Practice Address - Street 2:CARR 3 KM 45.4
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:939-276-7979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor