# ACU-DERM

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

## Provider details

- **NPI number:** 1720479587
- **Authorized official:** MRS. SAMANTHA MONTERO-LOPEZ (PRESIDENT)
- **Authorized official phone:** (305) 613-6318

## Contact information

- **Practice address:** 4005 ALHAMBRA CIR, CORAL GABLES, FL 33146-1005
- **Practice address phone:** (305) 613-6318
- **Mailing address:** 4005 ALHAMBRA CIR, CORAL GABLES, FL 33146-1005
- **Mailing address phone:** (305) 613-6318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | FL | Yes |

## Other

- **Enumeration date:** 02/13/2015
- **Last updated:** 02/13/2015