MEDICARE: ADAMARI GOMEZ VILLEGAS D.C.

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	442	PR

General Provider Information

NPI Number	:	1669622106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAMARI GOMEZ VILLEGAS D.C.

Provider Business Mailing Address
First Line	:	LAS VISTAS SHPG VLG STE 9
Second Line	:	300 AVE, FELISA RINCON
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6088
Country	:	US
Telephone Number	:	787-914-4729
Fax Number	:

Provider Business Practice Location Address
First Line	:	LAS VISTAS SHPG VLG STE 9
Second Line	:	300 AVE, FELISA RINCON
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6088
Country	:	US
Telephone Number	:	787-914-4729
Fax Number	:

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

Provider Enumeration Date	:	09/20/2008
Last Update Date	:	05/14/2014

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