NPIMap

Organization Active NPI

Luna Katzutra Wellness Inc

  • Physical Therapy Clinic/Center
  • Miami, FL
National Provider Identifier
1639464407
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
65056 Issued in FL
Legal business name
LUNA KATZUTRA WELLNESS INC
Practice address
9835 SW 72ND St
Suite 208
Miami, FL 33173-4670
Phone
(305) 381-5429
Fax
(305) 381-5542
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Mr. Edgar N Escobar, MD
Title
President/ Owner
Phone
(305) 381-5429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 65056 FL Primary

Addresses

Primary practice location

9835 SW 72ND St
Suite 208
Miami, FL 33173-4670

Mailing address

9835 SW 72ND St
Suite 208
Miami, FL 33173-4670
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.

Locations

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

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1639464407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9835 SW 72ND ST",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734670",
            "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",
            "address_2": "SUITE 208",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734670",
            "telephone_number": "305-381-5429",
            "fax_number": "305-381-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA KATZUTRA WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "305-381-5429",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "65056",
            "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 15, 2012; 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.