Active NPI
Life Is Qi
- Acupuncturist
- Wilton Manors, FL
National Provider Identifier
1003221110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP2616
- Legal business name
- LIFE IS QI
- Practice address
- 1650 NE 26TH St
Suite 101
Wilton Manors, FL 33305-1431 - Phone
- (786) 564-1881
- NPI assigned
- Jun 26, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Odin Gutierrez
- Title
- President
- Phone
- (786) 564-1881
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP2616 | FL | Primary |
Addresses
Primary practice location
1650 NE 26TH St
Suite 101
Wilton Manors, FL 33305-1431
Mailing address
1650 NE 26TH St
Suite 101
Wilton Manors, FL 33305-1431
Phone (786) 564-1881
National Provider Directory
National Provider DirectoryLocations
1650 NE 26th St
Ste 101
Wilton Manors, FL 33305
Phone (954) 564-6573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403740800000",
"number": "1003221110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 NE 26TH ST",
"address_2": "SUITE 101",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051431",
"telephone_number": "786-564-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 NE 26TH ST",
"address_2": "SUITE 101",
"city": "WILTON MANORS",
"state": "FL",
"postal_code": "333051431",
"telephone_number": "786-564-1881"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE IS QI",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-26",
"last_updated": "2014-06-26",
"status": "A",
"authorized_official_last_name": "GUTIERREZ",
"authorized_official_first_name": "ODIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-564-1881"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP2616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilton Manors, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.