NPIMap

Organization Active NPI

Luna Katsutra Wellness Inc.

  • Multi-Specialty Clinic/Center
  • Miami, FL
National Provider Identifier
1245638063
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
ME64467 Issued in FL
Legal business name
LUNA KATSUTRA WELLNESS INC.
Practice address
9835 SW 72ND St Ste 208
Miami, FL 33173-4647
Phone
(305) 381-5429
Fax
(305) 381-5542
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
David Santiago
Title
President
Phone
(305) 381-5429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X ME64467 FL Primary

Addresses

Primary practice location

9835 SW 72ND St Ste 208
Miami, FL 33173-4647

Mailing address

9835 SW 72ND St Ste 208
Miami, FL 33173-4647
Phone (305) 381-5429

National Provider Directory

National Provider Directory
Tax ID family
Luna Katzutra Wellness Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1245638063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 SW 72ND ST STE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734647",
            "telephone_number": "305-381-5429",
            "fax_number": "305-381-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9835 SW 72ND ST STE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734647",
            "telephone_number": "305-381-5429",
            "fax_number": "305-381-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA KATSUTRA WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-381-5429"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "ME64467",
            "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 Dec 10, 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.

Verify at the official NPI Registry.