Provider Demographics
NPI:1033532148
Name:MIAMI ACUPUNCTURE THERAPY INC
Entity Type:Organization
Organization Name:MIAMI ACUPUNCTURE THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MELERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-972-1616
Mailing Address - Street 1:1 CURTISS PKWY
Mailing Address - Street 2:STE 6
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-5263
Mailing Address - Country:US
Mailing Address - Phone:786-972-1616
Mailing Address - Fax:888-241-4103
Practice Address - Street 1:1 CURTISS PKWY
Practice Address - Street 2:STE 6
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-5263
Practice Address - Country:US
Practice Address - Phone:786-972-1616
Practice Address - Fax:888-241-4103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10029111N00000X
FLAP2697171100000X
FLMA48800225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000000000OtherNONE