Provider Demographics
NPI:1871532606
Name:GONZALEZ ADORNO, ZORELISA (MD)
Entity type:Individual
Prefix:DR
First Name:ZORELISA
Middle Name:
Last Name:GONZALEZ ADORNO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 27078
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-9767
Mailing Address - Country:US
Mailing Address - Phone:787-969-0020
Mailing Address - Fax:
Practice Address - Street 1:BO. PUGNADO ADENTRO
Practice Address - Street 2:CARR 155 KM 58.5
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-5243
Practice Address - Country:US
Practice Address - Phone:787-314-6042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15666208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRI36890Medicare UPIN
PR0023309Medicare ID - Type Unspecified