Provider Demographics
NPI:1649432543
Name:GONZALEZ-ORTIZ, DILKA I (MD)
Entity type:Individual
Prefix:
First Name:DILKA
Middle Name:I
Last Name:GONZALEZ-ORTIZ
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 11 BOX 228
Mailing Address - Street 2:URB MANSIONES DEL GOLF
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA ANTONIO R BARCELO
Practice Address - Street 2:CARR 14 KM 71 H6 BO MONTELLANO
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-9998
Practice Address - Country:US
Practice Address - Phone:787-738-0901
Practice Address - Fax:787-738-7042
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15932207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology