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
—
—
225X00000X
Occupational Therapist
Primary
—
—
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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