Healthcare Provider Details

I. General information

NPI: 1649180324
Provider Name (Legal Business Name): ASCEND HEALTH CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR. EST. PR-107, KM 2.8, BO. BORINQUEN
AGUADILLA PR
00603-0000
US

IV. Provider business mailing address

PO BOX 3331
AGUADILLA PR
00605-3331
US

V. Phone/Fax

Practice location:
  • Phone: 939-324-6755
  • Fax:
Mailing address:
  • Phone: 939-324-6675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: IVONNE IRIZARRY
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 939-324-6675