Organization Name: | PEQUENO CAMPEON DE JESUS INC |
NPI Number: | 1285050393 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EURELIA PEREZ OLIVO (DIRECTOR) |
Mailing Address: | 140 Bo Llanadas Barceloneta |
State: | PR US |
Postal Code: | 006172927 |
Phone Number: | 7878465724 |
Fax Number: | 7878465724 |
NPI Enumeration Date: | 03/13/2014 |
NPI Last Update Date: | 03/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1221 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |