Fabiola Gonzalez Ortiz

Individual provider General Practice Physician · NPI 1184189334

Fabiola Gonzalez Ortiz is a General Practice in Saban Grande, Puerto Rico. Qualified in 2021, 5 years ago. Practices with Centro De Salud De Lares Inc, a 32-clinician group and accepts Medicare assignment. Licensed in Puerto Rico.

Years since qualifying: 5
Licensed in: PR
In the registry since: 2019

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

Bo Molinas Carr 365 Km 3.4 Int
Saban Grande, PR 00637-2600
Phone: (787) 892-5300

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Specialties & licences

General Practice Physician (primary)	Taxonomy 208D00000X · Licence 23535 (PR)

Record details

NPI number	1184189334
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	February 1, 2019
Last updated in NPPES	January 12, 2024
Certification date	January 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	GENERAL PRACTICE
Medical school	OTHER
Graduated	2021 (5 years in practice)
Group practice	Centro De Salud De Lares Inc — 32 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount