MEDICARE: VENTURA PELUZZO JR. 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	371	PR

General Provider Information

NPI Number	:	1093797698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VENTURA PELUZZO JR. DC

Provider Business Mailing Address
First Line	:	PMB 288
Second Line	:	PO BOX 4960
City	:	CAGUAS
State	:	PR
Zip	:	00726
Country	:	US
Telephone Number	:	787-747-8500
Fax Number	:	787-743-2241

Provider Business Practice Location Address
First Line	:	84 CALLE AQUAMARINA
Second Line	:	URB VILLA BLANCA
City	:	CAGUAS
State	:	PR
Zip	:	00725-1908
Country	:	US
Telephone Number	:	787-747-8500
Fax Number	:	787-743-2241

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

Provider Enumeration Date	:	11/18/2005
Last Update Date	:	04/21/2025

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