How QuiroHealth Centers Fixed a Broken Lead Pipeline and Built a Patient Acquisition System That Actually Converts
About QuiroHealth Centers
Dr. Carlos A. Sellés has been serving families in Puerto Rico since 1994. With two locations in San Juan and Bayamon, QuiroHealth Centers has spent over 30 years building a reputation for real, lasting chiropractic care. Dr. Sellés is not a new chiropractor trying to get off the ground. He runs an established practice with a loyal patient base and genuine clinical results.
What he didn't have was a reliable way to turn advertising into new patients.
The challenge
Dr. Sellés had worked with multiple agencies before coming to QuiroAds. None of them delivered. The pattern was the same each time: promises up front, no real results, and a frustrating experience that left his patient acquisition exactly where it started.
The deeper problem wasn't the ads themselves. Leads were coming in, but they weren't converting. People would express interest and then disappear before ever booking an appointment. No proper follow-up system, no reminders that worked, no process to bring someone from "curious" to "confirmed first visit." The leads were leaking out of the funnel at every step, and no one had fixed it.
After two bad agency experiences, Dr. Sellés was understandably skeptical. He needed a partner who would actually work on the full system, not just run ads and send a report at the end of the month.
What we did
Rebuilt the ad strategy from scratch
Previous agencies had left things in poor shape. We audited everything: the campaign structure, the targeting, the creative, the offer. Nothing was performing the way it should. We started over with a new Meta Ads campaign architecture built specifically around patient acquisition for QuiroHealth's two Puerto Rico locations, not just lead volume for the sake of reporting a number.
Designed a conversion system for the leads
The real problem was always conversion. We built a follow-up sequence designed around the specific friction points that were stopping Puerto Rican patients from booking. Timing, messaging, and format were all calibrated to move someone from an initial inquiry to a confirmed appointment without putting the work on Dr. Sellés or his staff.
Automated reminders and appointment confirmations
We set up WhatsApp-based sequences that reduced no-shows and kept patients engaged between their first contact and their first visit. These automated patient communications run without anyone at the front desk having to manage them. Staff time is no longer spent chasing down leads who might not show up.
Rebuilt trust in paid advertising
After two failed agency relationships, Dr. Sellés came in skeptical of the entire channel. We worked transparently, showed him what was being done and why, and reported results honestly from the start. Over time, paid advertising went from a source of frustration to a reliable part of how QuiroHealth Centers acquires new patients.
Results achieved
- A patient acquisition system that actually converts: for the first time in the clinic's advertising history, leads reliably turn into first visits.
- More first visits from paid ads than at any previous point: the combination of better campaigns and a functioning conversion process made the difference.
- Automated follow-up running without staff involvement: the manual follow-up that was failing before has been replaced by a system that works around the clock.
- Restored confidence in digital advertising: after two failed agency relationships, Dr. Sellés now treats paid ads as a dependable acquisition channel rather than an expense with unpredictable returns.
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