Healthcare Provider Details

I. General information

NPI: 1699687814
Provider Name (Legal Business Name): HOLISTIC ALLIES PR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE SAN MIGUEL C7 VILLAS DEL PILAR
CEIBA PR
00735-3183
US

IV. Provider business mailing address

CALLE SAN MIGUEL C7 VILLAS DEL PILAR
CEIBA PR
00735-3183
US

V. Phone/Fax

Practice location:
  • Phone: 787-531-6458
  • Fax: 413-455-2708
Mailing address:
  • Phone: 787-531-6458
  • Fax: 413-455-2708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA E ROMAN MORALES
Title or Position: CEO
Credential: DHA , DSW (C)
Phone: 787-531-6458