Provider Demographics
NPI:1538316542
Name:DCB ACUPUNCTURE HEALTH AND WELLNESS CENTER
Entity Type:Organization
Organization Name:DCB ACUPUNCTURE HEALTH AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CONSTANZA
Authorized Official - Middle Name:
Authorized Official - Last Name:SALGADO
Authorized Official - Suffix:
Authorized Official - Credentials:AP
Authorized Official - Phone:305-484-8015
Mailing Address - Street 1:601 SW 57TH AVE STE I
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-3969
Mailing Address - Country:US
Mailing Address - Phone:305-484-8015
Mailing Address - Fax:
Practice Address - Street 1:601 SW 57TH AVE STE I
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-3969
Practice Address - Country:US
Practice Address - Phone:305-484-8015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 2455171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty