Healthcare Provider Details

I. General information

NPI: 1538080965
Provider Name (Legal Business Name): 305 ACUMED & ORTHOSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7213 NW 54TH ST
MIAMI FL
33166-4807
US

IV. Provider business mailing address

7213 NW 54TH ST
MIAMI FL
33166-4807
US

V. Phone/Fax

Practice location:
  • Phone: 305-926-8441
  • Fax:
Mailing address:
  • Phone: 305-926-8441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL L LOPEZ
Title or Position: OWNER
Credential: DACCHM
Phone: 305-926-8441