=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447546247
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OCASIO MULERO INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/21/2011
-----------------------------------------------------
Last Update Date | 06/21/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR 3 KM 85.9 BO CANDELERO ARRIBA
-----------------------------------------------------
City | HUMACAO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00791-0000
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-850-8011
-----------------------------------------------------
Fax | 787-850-5605
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | AVENIDA RAFAEL CORDERO #17
-----------------------------------------------------
City | CAGUAS
-----------------------------------------------------
State | PUERTO RICO
-----------------------------------------------------
Zip | 00725
-----------------------------------------------------
Country | UM
-----------------------------------------------------
Telephone | 787-746-4919
-----------------------------------------------------
Fax | 787-258-7060
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. CARLOS R OCASIO
-----------------------------------------------------
Credential | PHD
-----------------------------------------------------
Telephone | 787-315-2056
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 13-F2947
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------