MEDICARE: EDWARDO JOSE ORTIZ ORTIZ DC

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	111N00000X	Chiropractor	1157	PR

General Provider Information

NPI Number	:	1386586634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARDO JOSE ORTIZ ORTIZ DC

Provider Business Mailing Address
First Line	:	PO BOX 581
Second Line	:
City	:	OROCOVIS
State	:	PR
Zip	:	00720-0581
Country	:	US
Telephone Number	:	787-221-8828
Fax Number	:

Provider Business Practice Location Address
First Line	:	ZONA INDUSTRIAL VILLA BLANCA #1
Second Line	:	CALLE FOMENTO SUITE 5
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:	787-221-8828
Fax Number	:

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

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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Directions to “ EDWARDO JOSE ORTIZ ORTIZ DC” Practice Location

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