1831001981 NPI number — TINY TRUNKS THERAPY

Table of content: (NPI 1831001981)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831001981 NPI number — TINY TRUNKS THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TINY TRUNKS THERAPY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831001981
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/09/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
47 URB VISTA VERDE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAMUY
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00627-3302
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-346-4172
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AGUADILLA MEDICAL SERVICCARR # 2, KM 129.3, BO VICTORIA
Provider Second Line Business Practice Location Address:
OFICINA 100
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-233-3722
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/22/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
OCASIO QUINONES
Authorized Official First Name:
IDANARA
Authorized Official Middle Name:
T
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-346-4172

Provider Taxonomy Codes

  • Taxonomy code: 103TC2200X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)