=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003285925
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACUWORKS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/22/2015
-----------------------------------------------------
Last Update Date | 07/03/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4160 W 16TH AVE STE 201
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012-5853
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-274-9837
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4160 W 16TH AVE STE 201
-----------------------------------------------------
City | HIALEAH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33012-5853
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 786-274-9837
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. LUIS GUZMAN
-----------------------------------------------------
Credential | MASTER ORIENTAL MEDI
-----------------------------------------------------
Telephone | 786-274-9837
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------