Active NPI
Id Theraphy Group LLC
- Speech-Language Pathologist
- Manati, PR
National Provider Identifier
1528972494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- ID THERAPHY GROUP LLC
- Practice address
- Carr PR 149 KM 9.3 Unidad Local 6 Sector Cuchillas
Bo Hato Viejo
Manati, PR 00674 - Phone
- (787) 695-8223
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tommy Quintero
- Title
- President
- Phone
- (787) 608-2831
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | NU | ||
| Occupational Therapist | 225X00000X | NU | ||
| Speech-Language Pathologist | 235Z00000X | NU | Primary |
Addresses
Primary practice location
Carr PR 149 KM 9.3 Unidad Local 6 Sector Cuchillas
Bo Hato Viejo
Manati, PR 00674
Mailing address
40 Calle Gaviota
Manati, PR 00674-9420
Phone (787) 608-2831
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1528972494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 CALLE GAVIOTA",
"city": "MANATI",
"state": "PR",
"postal_code": "006749420",
"telephone_number": "787-608-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR PR 149 KM 9.3 UNIDAD LOCAL 6 SECTOR CUCHILLAS",
"address_2": "BO HATO VIEJO",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-695-8223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ID THERAPHY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "QUINTERO",
"authorized_official_first_name": "TOMMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-608-2831"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
- Hospitalist Medical Services, PSC
- Hospitalist Medical Services, PSC
- Huesos Chicos CSP
- Yara Humaran, RPT
- Iasmedical Inc.
- Idn. SVC Corp
- Inmobiliaria San Alberto Inc.
- Instituto Cardiovascular Alex Branmar, P.S.C.
- Instituto de Hematologia Y Oncologia Medico del Norte P.S.C.
- Instituto de Medicina de Familia de Manati CSP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.