Ancient Healing Wellness Center LLC

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

ANCIENT HEALING WELLNESS CENTER LLC

Practice address

103 N Park Blvd
San Antonio, TX 78204-2430

Phone

(210) 663-4643

Fax

(210) 874-6617

NPI assigned

Oct 29, 2020

Last updated

Oct 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria J Gomez-Medina, MSOM, PH.D

Title

Owner

Phone

(210) 663-4643

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria De Jesus Gomez-Medina, LIC.AC, MSOM.

  • Acupuncturist
  • San Antonio, TX
  • NPI 1851045447
  NPD

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1942800826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N PARK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782042430",
            "telephone_number": "210-663-4643",
            "fax_number": "210-874-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N PARK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782042430",
            "telephone_number": "210-663-4643",
            "fax_number": "210-874-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCIENT HEALING WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "GOMEZ-MEDINA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-663-4643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSOM, PH.D"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anchorage Hospice, Inc.
• Anchored by Grace Hospice Care, Inc.
• Anchorpoint Behavioral Health
• Anchorpoint Wellness Center LLC (RiverStone San Antonio South)
• Anchorvale Mental Health PLLC
• Ancino Heights Assisted Living Facility Inc.
• Ariana Gabriella Ancira
• Grace L Ancira, LPC
• Dominic Nicholas Giovanni Ancona, PA
• Emelita Remolano Andal, RN,PCCN

• Acupuncturist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.