Integrative Health Care Institute LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

14000181260 Issued in FL

Legal business name

INTEGRATIVE HEALTH CARE INSTITUTE LLC

Practice address

3211 Ponce de Leon Blvd
Suite #102
Coral Gables, FL 33134-7274

Phone

(305) 443-3480

NPI assigned

Dec 17, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Maritza Fuentes, MBR

Title

President/Ceo

Phone

(305) 443-3480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450310400000",
    "number": "1396100343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 PONCE DE LEON BLVD",
            "address_2": "SUITE #102",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347274",
            "telephone_number": "305-443-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 PONCE DE LEON BLVD",
            "address_2": "SUITE #102",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331347274",
            "telephone_number": "305-443-3480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH CARE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2015-12-17",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "305-443-3480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBR"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "14000181260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; 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.