Holistic Experience LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HOLISTIC EXPERIENCE LLC

Practice address

Carr 149 KM 68.3
Juana Diaz, PR 00795

Phone

(787) 602-9785

NPI assigned

Jun 4, 2024

Last updated

Jun 4, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carmen I Soto OrtizNPI 1952481749

Title

President

Phone

(787) 602-9785

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carmen I Soto Ortiz, DPT

  • Physical Therapist
  • Juana Diaz, PR
  • NPI 1952481749
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1497596373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "MERCEDITA",
            "state": "PR",
            "postal_code": "007150079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 149 KM 68.3",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-602-9785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC EXPERIENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "SOTO ORTIZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-602-9785"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kessia Iris Hernandez Santiago, MD
• Jiaxelis Marie Hernandez-Garcia, PHARM D
• Jatniel Hernandez, R.N.
• Luis Alberto Hernandez
• Vivian Hernandez, PHAMD
• Hyperbarics and Wound Care Centers of Puerto Rico
• In/Patient Services LLC
• Kevin Juan Indart Rosario
• Instituto Dental del Sur.C.S.P.
• Instituto Multidisciplinario de Salud Mental I-Musa

• Physical Therapy Clinic/Center in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• Physical Therapy Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.