Organization Active NPI

Irs Holistic Center L.L.C

  • Occupational Therapist
  • Humacao, PR
National Provider Identifier
1932712247
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
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

Updated by the provider on May 20, 2022

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)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1265789861OtherPRNPI

Other names 1

  • IRS HOLISTIC CENTER L.L.C Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.