# LUNA KATSUTRA WELLNESS INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245638063
- **Authorized official:** DAVID SANTIAGO (PRESIDENT)
- **Authorized official phone:** (305) 381-5429

## Contact information

- **Practice address:** 9835 SW 72ND ST STE 208, MIAMI, FL 33173-4647
- **Practice address phone:** (305) 381-5429
- **Practice address fax:** (305) 381-5542
- **Mailing address:** 9835 SW 72ND ST STE 208, MIAMI, FL 33173-4647
- **Mailing address phone:** (305) 381-5429
- **Mailing address fax:** (305) 381-5542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | ME64467 | FL | Yes |

## Other

- **Enumeration date:** 12/10/2014
- **Last updated:** 12/10/2014
