NPIMap

Organization Active NPI

Integrative Bioregulatory Medicine, LLC

  • Acupuncturist
  • Miami Lakes, FL
National Provider Identifier
1912348582
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP355 Issued in FL
Legal business name
INTEGRATIVE BIOREGULATORY MEDICINE, LLC
Practice address
7480 Fairway Dr
Suite 108
Miami Lakes, FL 33014-6879
Phone
(786) 284-0117
NPI assigned
Jul 11, 2013
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Celestino Lopez, AP
Title
President
Phone
(786) 284-0117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP355 FL Primary

Addresses

Primary practice location

7480 Fairway Dr
Suite 108
Miami Lakes, FL 33014-6879

Mailing address

7480 Fairway Dr
Suite 108
Miami Lakes, FL 33014-6879
Phone (786) 284-0117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1912348582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7480 FAIRWAY DR",
            "address_2": "SUITE 108",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146879",
            "telephone_number": "786-284-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 FAIRWAY DR",
            "address_2": "SUITE 108",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330146879",
            "telephone_number": "786-284-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE BIOREGULATORY MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "CELESTINO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-284-0117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.