Marlacoral Ortiz Gonzalez | Aibonito, PR • PECOS Search

Marlacoral Ortiz Gonzalez

General Practice

Allopathic & Osteopathic Physicians

Urb. Bella Vista C7 Calle Violeta, Aibonito, PR 00705

PECOS Enrollment

Based on the most recent information from CMS, provider Marlacoral Ortiz Gonzalez does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1477293603
Provider Type
Individual
Full Name
Ortiz Gonzalez, Marlacoral
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/29/2022
Last Updated
8/27/2024

Contact Information

Practice Location

Urb. Bella Vista C7 Calle Violeta, Aibonito, PR 00705

Unlisted Fax

Mailing Location

Urb. Bella Vista C7 Calle Violeta, Aibonito, PR 00705

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208D00000X Primary	Description General Practice Allopathic & Osteopathic Physicians	License 23892 Puerto Rico