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1992842090
MAIRALISA GOMEZ-FORTUNA
CANOVANAS, PR
NPI
1992842090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: PR 9438)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Dr. MAIRALISA GOMEZ-FORTUNA M.D.
CALLE PALMER # 8 ESQUINA CALDERON MUJICA
CANOVANAS, PR 00729
Phone number: 787-876-0849
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Mailing Address
Dr. MAIRALISA GOMEZ-FORTUNA M.D.
P.O. BOX 1405
CANOVANAS, PR 00729
Phone number: 787-876-0849
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