Healthcare Provider Details

I. General information

NPI: 1982597167
Provider Name (Legal Business Name): LITTLE STAR THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE DIOSDADO DONES ESQ. ROOSEVELT #117 COMUNIDAD COCO
SALINAS PR
00751
US

IV. Provider business mailing address

PO BOX 682
GUAYAMA PR
00785-0682
US

V. Phone/Fax

Practice location:
  • Phone: 787-482-4164
  • Fax:
Mailing address:
  • Phone: 787-482-4164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: LORENA RAMOS
Title or Position: DIRECTORA
Credential:
Phone: 939-280-0110