Healthcare Provider Details

I. General information

NPI: 1619893187
Provider Name (Legal Business Name): SANTOS ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8215 SW 72ND AVE APT 1316
MIAMI FL
33143-7871
US

IV. Provider business mailing address

8215 SW 72ND AVE APT 1316
MIAMI FL
33143-7871
US

V. Phone/Fax

Practice location:
  • Phone: 786-554-8852
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JUAN-CARLOS SANTOS JR.
Title or Position: OWNER
Credential: L.A.C
Phone: 786-554-8852