Healthcare Provider Details

I. General information

NPI: 1174290183
Provider Name (Legal Business Name): NATALIA ORTEGA MARTY DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1064 AVE PONCE DE LEON STE 205
SAN JUAN PR
00907-3719
US

IV. Provider business mailing address

4327 AVE ISLA VERDE APT 1205 BEACH TOWER
CAROLINA PR
00979-5232
US

V. Phone/Fax

Practice location:
  • Phone: 939-223-7413
  • Fax:
Mailing address:
  • Phone: 787-709-6205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCHIR010602
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number000982
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: