Provider Demographics
NPI:1306919428
Name:ACUPUNCTURE & HOLISTIC QUALITY MEDICAL CARE
Entity type:Organization
Organization Name:ACUPUNCTURE & HOLISTIC QUALITY MEDICAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CINTRON
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:305-445-4494
Mailing Address - Street 1:717 PONCE DE LEON BLVD
Mailing Address - Street 2:STE 325
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-2060
Mailing Address - Country:US
Mailing Address - Phone:305-445-4494
Mailing Address - Fax:
Practice Address - Street 1:717 PONCE DE LEON BLVD
Practice Address - Street 2:STE 325
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134-2060
Practice Address - Country:US
Practice Address - Phone:305-445-4494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty