Provider Demographics
NPI:1447546247
Name:OCASIO MULERO INC.
Entity type:Organization
Organization Name:OCASIO MULERO INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:R
Authorized Official - Last Name:OCASIO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:787-315-2056
Mailing Address - Street 1:AVENIDA RAFAEL CORDERO #17
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00725
Mailing Address - Country:UM
Mailing Address - Phone:787-746-4919
Mailing Address - Fax:787-258-7060
Practice Address - Street 1:CARR 3 KM 85.9 BO CANDELERO ARRIBA
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-0000
Practice Address - Country:US
Practice Address - Phone:787-850-8011
Practice Address - Fax:787-850-5605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13-F2947183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty