Provider Demographics
NPI:1952360554
Name:MULERO FERNANDEZ, JOSE ALBERTO (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:ALBERTO
Last Name:MULERO FERNANDEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PMB 617
Mailing Address - Street 2:267 SIERRA MORENA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5583
Mailing Address - Country:US
Mailing Address - Phone:787-790-8249
Mailing Address - Fax:787-720-7371
Practice Address - Street 1:ROMANY GARDENS
Practice Address - Street 2:A-2 SANTA ROSA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-790-8249
Practice Address - Fax:787-720-7371
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-22
Last Update Date:2010-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR12126207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR88644OtherTRIPLE S, INC.
PR9260183OtherHUMANA
PR88627Medicare ID - Type Unspecified