MEDICARE: DR. ZORELISA GONZALEZ ADORNO M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	15666	PR

General Provider Information

NPI Number	:	1871532606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZORELISA GONZALEZ ADORNO M.D.

Provider Business Mailing Address
First Line	:	HC 1 BOX 27078
Second Line	:
City	:	VEGA BAJA
State	:	PR
Zip	:	00693-9767
Country	:	US
Telephone Number	:	787-969-0020
Fax Number	:

Provider Business Practice Location Address
First Line	:	BO. PUGNADO ADENTRO
Second Line	:	CARR 155 KM 58.5
City	:	VEGA BAJA
State	:	PR
Zip	:	00693-5243
Country	:	US
Telephone Number	:	787-314-6042
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	02/06/2024

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