MEDICARE: REBALANCE CHIROPRACTIC LLC

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

General Provider Information

NPI Number	:	1275463424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBALANCE CHIROPRACTIC LLC

Provider Business Mailing Address
First Line	:	QN4 CALLE 246
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00982-1894
Country	:	US
Telephone Number	:	787-517-4796
Fax Number	:

Provider Business Practice Location Address
First Line	:	QN4 CALLE 246
Second Line	:
City	:	CAROLINA
State	:	PR
Zip	:	00982-1894
Country	:	US
Telephone Number	:	787-517-4796
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTIC PHYSICIAN
Name	:	EDUARDO JOSE RODRIGUEZ PENA
Credential	:	DC
Telephone Number	:	787-517-4796

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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Directions to “REBALANCE CHIROPRACTIC LLC ” Practice Location

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