Healthcare Provider Details

I. General information

NPI: 1831676956
Provider Name (Legal Business Name): PATRICIA MULERO SOTO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2018
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 AVE PONCE DE LEON APT 205
SAN JUAN PR
00909-2050
US

IV. Provider business mailing address

PO BOX 7412
SAN JUAN PR
00916-7412
US

V. Phone/Fax

Practice location:
  • Phone: 939-475-1414
  • Fax:
Mailing address:
  • Phone: 787-233-3424
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number22634
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: