Organization Active NPI

Im Acupuncture and Herbal Medicine, PLLC

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1194277608
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3673 Issued in FL
Legal business name
IM ACUPUNCTURE AND HERBAL MEDICINE, PLLC
Practice address
11500 SW 178TH Ter
Miami, FL 33157-4974
Phone
(512) 621-2538
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony Jose Guadamuz, A.P.
Title
Acupuncture Physician
Phone
(512) 621-2538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3673 FL Primary

Addresses

Primary practice location

11500 SW 178TH Ter
Miami, FL 33157-4974

Mailing address

11500 SW 178TH Ter
Miami, FL 33157-4974
Phone (512) 621-2538

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1194277608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 SW 178TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574974",
            "telephone_number": "512-621-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 SW 178TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331574974",
            "telephone_number": "512-621-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM ACUPUNCTURE AND HERBAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "GUADAMUZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "ACUPUNCTURE PHYSICIAN",
        "authorized_official_telephone_number": "512-621-2538",
        "authorized_official_credential": "A.P."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "3673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.