MEDICARE: DR. ANTHONY HOMS 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	1011	PR

General Provider Information

NPI Number	:	1760204184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY HOMS ORTIZ DC

Provider Business Mailing Address
First Line	:	URB. SANTA RITA 3, CALLE SANTA MARIA
Second Line	:	1431
City	:	COTO LAUREL
State	:	PR
Zip	:	00780
Country	:	US
Telephone Number	:	787-901-4856
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARRETERA #2 ESQUINA 167
Second Line	:	BAY SHOPPING CITY BAYAMON 6107
City	:	BAYAMON
State	:	PR
Zip	:	00959
Country	:	US
Telephone Number	:	787-221-3971
Fax Number	:

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

Provider Enumeration Date	:	10/28/2024
Last Update Date	:	10/28/2024

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