Individual provider Active NPI

Jose Alberto Mulero Fernandez, MD

  • Family Medicine Physician
  • San Juan, PR
National Provider Identifier
1952360554
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12126 Issued in PR
Practice address
Romany Gardens
A-2 Santa Rosa
San Juan, PR 00926
Phone
(787) 790-8249
Fax
(787) 720-7371
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12126 PR Primary

Addresses

Primary practice location

Romany Gardens
A-2 Santa Rosa
San Juan, PR 00926

Mailing address

PMB 617
267 Sierra Morena
San Juan, PR 00926-5583
Phone (787) 790-8249

Other identifiers 2

IdentifierTypeStateIssuer
88644OtherPRTRIPLE S, INC.
9260183OtherPRHUMANA

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
I20041230000049 PR Practitioner - Family Practice 4789642240 Practice locations: Caguas, PR; San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Puerto Rico School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Calle Munoz Rivera
Caguas, PR 00725-2603
Phone (787) 743-4421

A2 Calle Santa Rosa
San Juan, PR 00926-5652
Phone (787) 790-8249

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12126PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1952360554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 617",
            "address_2": "267 SIERRA MORENA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265583",
            "telephone_number": "787-790-8249",
            "fax_number": "787-720-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROMANY GARDENS",
            "address_2": "A-2 SANTA ROSA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-790-8249",
            "fax_number": "787-720-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULERO FERNANDEZ",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "12126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S, INC.",
            "identifier": "88644",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "9260183",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.