Healthcare Provider Details

I. General information

NPI: 1760204184
Provider Name (Legal Business Name): ANTHONY HOMS ORTIZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

670 PR-25 220
SAN JUAN PR
00907
US

IV. Provider business mailing address

URB. SANTA RITA 3, CALLE SANTA MARIA 1431
COTO LAUREL PR
00780
US

V. Phone/Fax

Practice location:
  • Phone: 787-901-4856
  • Fax:
Mailing address:
  • Phone: 787-901-4856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1011
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: