Healthcare Provider Details

I. General information

NPI: 1508720772
Provider Name (Legal Business Name): PRO ACTIVE CHIROPRACTIC & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C3 CALLE MARGINAL
DORADO PR
00646-2057
US

IV. Provider business mailing address

C3 CALLE MARGINAL
DORADO PR
00646-2057
US

V. Phone/Fax

Practice location:
  • Phone: 939-396-0596
  • Fax:
Mailing address:
  • Phone: 939-396-0596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. GIOVANNA RAMIREZ
Title or Position: PRESIDENT
Credential: DC
Phone: 787-202-3212