Individual
DR. MAIRALISA GOMEZ-FORTUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CALLE PALMER # 8, ESQUINA CALDERON MUJICA, CANOVANAS, PR 00729
(787) 876-0849
(787) 876-0849
Mailing address
P.O. BOX 1405, CANOVANAS, PR 00729
(787) 876-0849
(787) 876-0849
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9438
PR
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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