Provider Demographics
NPI:1912761057
Name:ACUVITALS
Entity Type:Organization
Organization Name:ACUVITALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE PHYSICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:BALLADARES
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, AP, MT
Authorized Official - Phone:305-975-1554
Mailing Address - Street 1:11530 SW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-3702
Mailing Address - Country:US
Mailing Address - Phone:130-597-5155
Mailing Address - Fax:
Practice Address - Street 1:9999 NE 2ND AVE STE 313
Practice Address - Street 2:
Practice Address - City:MIAMI SHORES
Practice Address - State:FL
Practice Address - Zip Code:33138-2346
Practice Address - Country:US
Practice Address - Phone:305-771-2115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty