# IRS HOLISTIC CENTER L.L.C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** IRS HOLISTIC CENTER L.L.C
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932712247
- **Authorized official:** IVONNE YAMIL RODRIGUEZ RAMOS (PROVIDER)
- **Authorized official phone:** (787) 362-4175

## Contact information

- **Practice address:** CALLE SERGIO PENA ALMODOVAR 103, HUMACAO, PR 00791-3655
- **Practice address phone:** (787) 362-4175
- **Practice address fax:** (787) 767-0210
- **Mailing address:** 570 URB EXT VILLAS DE BUENA VENTURA, YABUCOA, PR 00767-0000
- **Mailing address phone:** (787) 362-4175
- **Mailing address fax:** (787) 767-0210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/26/2020
- **Last updated:** 05/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1265789861 | NPI | PR |