Organization
PEQUENO CAMPEON DE JESUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EURELIA PEREZ OLIVO MSW (DIRECTOR)
(787) 846-5724
Entity
Organization
Contact information
Practice address
140 BO LLANADAS, BARCELONETA, PR 00617-2927
(787) 846-5724
(787) 846-5724
Mailing address
5 CARR 140 # KM, BARRIO LLANADAS, BARCELONETA, PR 00617-2806
(787) 846-5724
(787) 846-5724
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
—
—
172M00000X
Mechanotherapist
—
—
174400000X
Specialist
Primary
—
—
235Z00000X
Speech-Language Pathologist
1221
PR
235Z00000X
Speech-Language Pathologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
03/13/2014
Last updated
03/18/2014
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