DR. MAIRALISA GOMEZ-FORTUNA M.D.
NPI 1992842090
General Practice in Canovanas, PR

Q: What is Mairalisa Gomez-fortuna's NPI number?

The NPI number for Mairalisa Gomez-fortuna is 1992842090. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Mairalisa Gomez-fortuna's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since January 30, 2007PECOS Enrolled

CALLE PALMER # 8, ESQUINA CALDERON MUJICA, CANOVANAS, PR 00729(787) 876-0849(787) 876-0849 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mairalisa Gomez-fortuna M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAIRALISA GOMEZ-FORTUNA M.D. (NPI 1992842090) is an individual general practice provider in Canovanas, Puerto Rico, licensed in Puerto Rico (9438) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992842090

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. MAIRALISA GOMEZ-FORTUNACredential: M.D.

Location AddressCALLE PALMER # 8, ESQUINA CALDERON MUJICACanovanas, PR 00729

Mailing AddressP.o. Box 1405Canovanas, PR 00729 · (787) 876-0849 · Fax (787) 876-0849

Phone(787) 876-0849

Fax(787) 876-0849

Sole ProprietorYes

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1992842090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in PR · 9438

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CALLE PALMER # 8, Canovanas, PR 00729

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mairalisa Gomez-fortuna M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mairalisa Gomez-fortuna's NPI number?

The NPI number for Mairalisa Gomez-fortuna is 1992842090. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Mairalisa Gomez-fortuna located?

Mairalisa Gomez-fortuna practices at Calle Palmer # 8 Esquina Calderon Mujica, Canovanas, PR 00729. The listed phone number is (787) 876-0849.

What is Mairalisa Gomez-fortuna's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mairalisa Gomez-fortuna enrolled in Medicare?

Yes. Mairalisa Gomez-fortuna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mairalisa Gomez-fortuna was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.