Provider Demographics
NPI:1093797698
Name:PELUZZO, VENTURA JR (DC)
Entity Type:Individual
Prefix:
First Name:VENTURA
Middle Name:
Last Name:PELUZZO
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 288
Mailing Address - Street 2:PO BOX 4960
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726
Mailing Address - Country:US
Mailing Address - Phone:787-747-8500
Mailing Address - Fax:787-743-2241
Practice Address - Street 1:84 CALLE AQUAMARINA
Practice Address - Street 2:URB VILLA BLANCA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-1908
Practice Address - Country:US
Practice Address - Phone:787-747-8500
Practice Address - Fax:787-743-2241
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor