MEDICARE: PRO ACTIVE CHIROPRACTIC & WELLNESS 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	:	1508720772
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRO ACTIVE CHIROPRACTIC & WELLNESS LLC

Provider Business Mailing Address
First Line	:	C3 CALLE MARGINAL STE 13
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-2057
Country	:	US
Telephone Number	:	939-396-0596
Fax Number	:

Provider Business Practice Location Address
First Line	:	C3 CALLE MARGINAL
Second Line	:
City	:	DORADO
State	:	PR
Zip	:	00646-2057
Country	:	US
Telephone Number	:	939-396-0596
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GIOVANNA RAMIREZ
Credential	:	DC
Telephone Number	:	787-202-3212

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	05/11/2026

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