Provider Demographics
NPI:1730287962
Name:ACUPUNCTURE ASSOCIATES OF AMERICA, INC.
Entity Type:Organization
Organization Name:ACUPUNCTURE ASSOCIATES OF AMERICA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORELLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:TAPIA-REYES
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-275-9602
Mailing Address - Street 1:2901 JUAN TABO BLVD NE STE 117
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-1885
Mailing Address - Country:US
Mailing Address - Phone:505-275-9602
Mailing Address - Fax:505-275-9604
Practice Address - Street 1:2901 JUAN TABO BLVD NE STE 117
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-1885
Practice Address - Country:US
Practice Address - Phone:505-275-9602
Practice Address - Fax:505-275-9604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM722RX1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty