NPI Code Detail JSON Logo

1063070621 NPI number — IRS HOLISTIC CENTER BIENESTAR SALUD Y AUTONOMIA

NPI Number: 1063070621
Health Care Provider/Practitioner: IRS HOLISTIC CENTER BIENESTAR SALUD Y AUTONOMIA

Information about “1063070621” NPI (IRS HOLISTIC CENTER BIENESTAR SALUD Y AUTONOMIA) exists in 1063070621 in HTML format HTML  |  1063070621 in plain Text format TXT  |  1063070621 in PDF (Portable Document Format) PDF  |  1063070621 in an XML format XML  formats.

NPI Number : 1063070621 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063070621",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "IRS HOLISTIC CENTER BIENESTAR SALUD Y AUTONOMIA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "570 EXTENSION VILLAS DE BUENAVENTURA",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "YABUCOA",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00767",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "787-362-4175",
    "MailingAddressFaxNumber": "787-767-0210",
    "FirstLinePracticeLocationAddress": "19 CALLE DUFRESNE PUEBLO",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HUMACAO",
    "PracticeLocationAddressStateName": "PR",
    "PracticeLocationAddressPostalCode": "00791",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "787-362-4175",
    "PracticeLocationAddressFaxNumber": "787-767-0210",
    "EnumerationDate": "05/30/2019",
    "LastUpdateDate": "05/30/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RODRIGUEZ RAMOS",
    "AuthorizedOfficialFirstName": "IVONNE",
    "AuthorizedOfficialMiddleName": "Y",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "787-362-4175",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.