Active NPI
Irs Holistic Center L.L.C
- Occupational Therapist
- Humacao, PR
National Provider Identifier
1932712247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- IRS HOLISTIC CENTER L.L.C
- Practice address
- Calle Sergio Pena Almodovar 103
Humacao, PR 00791-3655 - Phone
- (787) 362-4175
- Fax
- (787) 767-0210
- NPI assigned
- Aug 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivonne Yamil Rodriguez Ramos
- Title
- Provider
- Phone
- (787) 362-4175
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Occupational Therapist | 225X00000X | Primary | ||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
Calle Sergio Pena Almodovar 103
Humacao, PR 00791-3655
Mailing address
570 Urb Ext Villas de Buena Ventura
Yabucoa, PR 00767-0000
Phone (787) 362-4175
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265789861 | Other | PR | NPI |
Other names 1
- IRS HOLISTIC CENTER L.L.C
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653004800000",
"number": "1932712247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 URB EXT VILLAS DE BUENA VENTURA",
"city": "YABUCOA",
"state": "PR",
"postal_code": "007670000",
"telephone_number": "787-362-4175",
"fax_number": "787-767-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE SERGIO PENA ALMODOVAR 103",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007913655",
"telephone_number": "787-362-4175",
"fax_number": "787-767-0210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRS HOLISTIC CENTER L.L.C",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-26",
"last_updated": "2022-05-20",
"certification_date": "2022-05-20",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ RAMOS",
"authorized_official_first_name": "IVONNE",
"authorized_official_middle_name": "YAMIL",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "787-362-4175"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1265789861",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "IRS HOLISTIC CENTER L.L.C",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "IRS HOLISTIC CENTER L.L.C",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.