Individual
NOELANI GONZALEZ ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 AVE FD ROOSEVELT, STE 409 TORRE DE PLAZA, SAN JUAN, PR 00918-8081
(787) 473-0073
Mailing address
20 CARRION CT APT 402, SAN JUAN, PR 00911-1353
(787) 505-9160
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
021269
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1187256-0010
CERTIFICADO DE COMERCIANTE SURI
PR
01
—
446563
CERTIFICADO DE INCORPORACION
PR
Enumeration date
03/23/2012
Last updated
05/14/2026
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