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Organization
IRS HOLISTIC CENTER L.L.C
Active
Organization
IRS HOLISTIC CENTER L.L.C
Active
Other names
IRS HOLISTIC CENTER L.L.C
Organization subpart
No
Provider details
NPI number
Authorized official
IVONNE YAMIL RODRIGUEZ RAMOS (PROVIDER)
(787) 362-4175
Entity
Organization
Contact information
Practice address
CALLE SERGIO PENA ALMODOVAR 103, HUMACAO, PR 00791-3655
(787) 362-4175
(787) 767-0210
Mailing address
570 URB EXT VILLAS DE BUENA VENTURA, YABUCOA, PR 00767-0000
(787) 362-4175
(787) 767-0210
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
NULL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265789861
NPI
PR
Enumeration date
08/26/2020
Last updated
05/20/2022
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