Active NPI
Ren 17 Acupuncture, Corp
- Acupuncturist
- Coral Gables, FL
National Provider Identifier
1689082869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AP3427
- Legal business name
- REN 17 ACUPUNCTURE, CORP
- Practice address
- 747 Ponce de Leon Blvd
Suite 600
Coral Gables, FL 33134-2049 - Phone
- (305) 439-2413
- Fax
- (305) 447-6336
- NPI assigned
- Jul 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adriana Patino, L. AC
- Title
- President
- Phone
- (305) 439-2413
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AP3427 | FL | Primary |
Addresses
Primary practice location
747 Ponce de Leon Blvd
Suite 600
Coral Gables, FL 33134-2049
Mailing address
747 Ponce de Leon Blvd
Suite 600
Coral Gables, FL 33134-2049
Phone (305) 439-2413
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Miami, FL
- NPI 1740690676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566345600000",
"number": "1689082869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 PONCE DE LEON BLVD",
"address_2": "SUITE 600",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342049",
"telephone_number": "305-439-2413",
"fax_number": "305-447-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 PONCE DE LEON BLVD",
"address_2": "SUITE 600",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331342049",
"telephone_number": "305-439-2413",
"fax_number": "305-447-6336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REN 17 ACUPUNCTURE, CORP",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-31",
"last_updated": "2019-08-21",
"status": "A",
"authorized_official_last_name": "PATINO",
"authorized_official_first_name": "ADRIANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-439-2413",
"authorized_official_credential": "L. AC"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "FL",
"license": "AP3427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.