Individual provider Active NPI

Eugenio Mulero Portela, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mayaguez, PR
National Provider Identifier
1669464517
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
10847 Issued in PR
Practice address
Mayaguez Medical Ctr Ste 117
Mayaguez, PR 00682-1560
Phone
(787) 652-9200
Fax
(787) 652-1829
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 10847 PR Primary

Addresses

Primary practice location

Mayaguez Medical Ctr Ste 117
Mayaguez, PR 00682-1560

Mailing address

PO Box 10249
Ponce, PR 00732-0249
Phone (787) 652-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121211000419 PR Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 7113179516 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10847PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayaguez Medical Center Dr Ramon Emeterio Betances Inc CurrentSince Feb 1, 2021 Accepting new patients
Caribbean Cardiac & Thoracic Surgery Institute, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince May 11, 2025 Accepting new patients

Locations

917 Ave Tito Castro
Ste 519
Ponce, PR 00716

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1669464517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10249",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320249",
            "telephone_number": "787-652-9200",
            "fax_number": "787-652-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAYAGUEZ MEDICAL CTR STE 117",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560",
            "telephone_number": "787-652-9200",
            "fax_number": "787-652-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULERO PORTELA",
        "first_name": "EUGENIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2025-05-09",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PR",
            "license": "10847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.