Healthcare Provider Details

I. General information

NPI: 1730287962
Provider Name (Legal Business Name): ACUPUNCTURE ASSOCIATES OF AMERICA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 JUAN TABO BLVD NE STE 117
ALBUQUERQUE NM
87112-1885
US

IV. Provider business mailing address

2901 JUAN TABO BLVD NE STE 117
ALBUQUERQUE NM
87112-1885
US

V. Phone/Fax

Practice location:
  • Phone: 505-275-9602
  • Fax: 505-275-9604
Mailing address:
  • Phone: 505-275-9602
  • Fax: 505-275-9604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number722RX1
License Number StateNM

VIII. Authorized Official

Name: MRS. LORELLA D. TAPIA-REYES
Title or Position: OWNER
Credential: D.O.M.
Phone: 505-275-9602