LIBERTE ACUPUNCTURE, P.C.


Address: 1221 Connecticut Ave Nw Ste 5b, Washington, DC 20036-2607
Phone: 2023008428

LIBERTE ACUPUNCTURE, P.C. (NPI# 1912201617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912201617
Entity Type Organization
Organization Name LIBERTE ACUPUNCTURE, P.C.
Other Organization Name CITY ACUPUNCTURE CIRCLE
Practice Address 1221 Connecticut Ave Nw Ste 5b
Washington
DC 20036-2607
Practice Telephone 2023008428
Mailing Telephone 2023008428
Enumeration Date 2011-01-10
Last Update Date 2013-02-15
Authorized Official Name MR. JOSELO GUTIERREZ (ACUPUNCTURIST/PRESIDENT)
Authorized Official Telephone 2023008428
Authorized Official Credential LAC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QH0100X Clinic/Center
Specialization: Health Service
004047 NY Ambulatory Health Care Facilities
Y 261QH0100X Clinic/Center
Specialization: Health Service
AC500151 DC Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
City Acupuncture Circle Doing Business As Name - Organization

Office Location

Street Address 1221 CONNECTICUT AVE NW STE 5B
City WASHINGTON
State DC
Zip Code 20036-2607

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1770054371 Olivia Renee Searle Physical Therapist 1145 19th Street Nw Suite 413, Washington, DC 20036 2018-12-09
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1619480829 Meredith Harris Physical Therapist 1120 20th St Nw Ste 116, Washington, DC 20036 2017-11-09
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1932653706 Alphaedge, LLC. Clinic/Center 811 44th St Ne, Washington, DC 20019-3637 2016-08-10
1700296225 Rafel Dwaine Rieves Clinic/Center 1907 New Hampshire Ave Nw, Nw, Washington, DC 20009-3309 2014-05-06
1972845485 Sam Medical Center of America Pllc Clinic/Center 2141 K St Nw Ste 607, Washington, DC 20037-1810 2013-03-22
1689806556 Aids Healthcare Foundation Clinic/Center 2141 K St Nw Ste 707, Washington, DC 20037-1810 2009-08-11
1780839928 Simmons Chiropractic LLC Clinic/Center 1874 Highway A Ste 210, Washington, MO 63090-6448 2008-12-01
1073778122 Washington Chiropractic, LLC Clinic/Center 5008 Connecticut Ave Nw, Washington, DC 20008-2063 2008-07-28
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Competitor

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City WASHINGTON
Zip Code 20036

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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