Provider Demographics
NPI:1538912381
Name:AMOR DE ACUPUNTURE & HERBS LLC
Entity type:Organization
Organization Name:AMOR DE ACUPUNTURE & HERBS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CHRISTINA
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:505-903-0128
Mailing Address - Street 1:10516 4TH ST NW UNIT D
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-2230
Mailing Address - Country:US
Mailing Address - Phone:505-903-0128
Mailing Address - Fax:
Practice Address - Street 1:1101 CARDENAS DR NE STE 106
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-6645
Practice Address - Country:US
Practice Address - Phone:505-903-0128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center