# TINY TRUNKS THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831001981
- **Authorized official:** MISS IDANARA T OCASIO QUINONES (PRESIDENT)
- **Authorized official phone:** (787) 346-4172

## Contact information

- **Practice address:** AGUADILLA MEDICAL SERVICCARR \# 2, KM 129.3, BO VICTORIA, OFICINA 100, AGUADILLA, PR 00603
- **Practice address phone:** (787) 233-3722
- **Mailing address:** 47 URB VISTA VERDE, CAMUY, PR 00627-3302
- **Mailing address phone:** (787) 346-4172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 09/22/2026
- **Last updated:** 10/09/2026
