Riverview Acupuncture & Wellness Center LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

RIVERVIEW ACUPUNCTURE & WELLNESS CENTER LLC

Doing business as

Riverview Acupuncture & Wellness Center

Practice address

10015 Park Place Ave # a
Riverview, FL 33578-5303

Phone

(813) 399-6011

Fax

(267) 502-1689

NPI assigned

Nov 3, 2021

Organization subpart

No

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

Authorized official

Name

Maria Fernanda Carvajal, A.P.NPI 1720620511

Title

Owner

Phone

(813) 399-6011

Specialties & licenses 1

Addresses

Other names 1

• Riverview Acupuncture & Wellness Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Fernanda Carvajal, A.P.

  • Acupuncturist
  • Brandon, FL
  • NPI 1720620511
  NPD Authorized official

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1235894304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13712 MOONSTONE CANYON DR # A",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335793504",
            "telephone_number": "813-399-6011",
            "fax_number": "267-502-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 PARK PLACE AVE # A",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335785303",
            "telephone_number": "813-399-6011",
            "fax_number": "267-502-1689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "917 S Parsons Ave",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335116008",
            "country_code": "US",
            "telephone_number": "813-399-6011",
            "fax_number": "267-502-1689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERVIEW ACUPUNCTURE & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "FERNANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-399-6011",
        "authorized_official_credential": "A.P."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverview Acupuncture & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.