Active NPIIndividual providerSole proprietor

Dr. Mairalisa Gomez-Fortuna, MD

General Practice in Canovanas, Puerto Rico

NPI Number1992842090
Practice location
Calle Palmer # 8, Esquina Calderon Mujica, Canovanas, PR 00729
Fax
787-876-0849
Last updated
July 8, 2007

Mairalisa Gomez-Fortuna is a General Practice based in Canovanas, PR. Mairalisa Gomez-Fortuna practices in Canovanas, PR and has the professional credentials of MD. The NPI Number for Mairalisa Gomez-Fortuna is 1992842090 and holds a License No. 9438 (PR). The current practice location address for Mairalisa Gomez-Fortuna is Calle Palmer # 8, Esquina Calderon Mujica, Canovanas, PR 00729 and can be reached out via phone at 787-876-0849 and via fax at 787-876-0849.

Provider Profile Details

NPI Number
1992842090
Provider Name
Mairalisa Gomez-Fortuna
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Calle Palmer # 8, Esquina Calderon Mujica, Canovanas, PR 00729
Phone Number
787-876-0849
Fax Number
787-876-0849
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 30, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Calle Palmer # 8
Esquina Calderon Mujica
Canovanas, PR 00729
Zip
00729
Phone Number
787-876-0849
Fax Number
787-876-0849
Canovanas, PR 00729Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 1405
Canovanas, PR 00729
City
Canovanas
State
PR
Zip
00729
Phone Number
787-876-0849
Fax Number
787-876-0849

License Information

License Number
9438
License State
PR
Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Mairalisa Gomez-Fortuna, MD?

The NPI number of Dr. Mairalisa Gomez-Fortuna, MD is 1992842090. It was assigned on January 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mairalisa Gomez-Fortuna, MD?

Dr. Mairalisa Gomez-Fortuna, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in PR under license number 9438.

Where does Dr. Mairalisa Gomez-Fortuna, MD practice?

The practice location is Calle Palmer # 8, Esquina Calderon Mujica, Canovanas, PR 00729. The office can be reached at 787-876-0849 (phone) or 787-876-0849 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992842090 directly on the NPPES registry website.

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