Pequeno Campeon de Jesus Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PEQUENO CAMPEON DE JESUS INC

Practice address

140 Bo Llanadas
Barceloneta, PR 00617-2927

Phone

(787) 846-5724

Fax

(787) 846-5724

NPI assigned

Mar 13, 2014

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Eurelia Perez Olivo, MSW

Title

Director

Phone

(787) 846-5724

Specialties & licenses 7

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1285050393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CARR 140 # KM",
            "address_2": "BARRIO LLANADAS",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172806",
            "telephone_number": "787-846-5724",
            "fax_number": "787-846-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BO LLANADAS",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172927",
            "telephone_number": "787-846-5724",
            "fax_number": "787-846-5724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEQUENO CAMPEON DE JESUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "OLIVO",
        "authorized_official_first_name": "EURELIA",
        "authorized_official_middle_name": "PEREZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-846-5724",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "1221",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Otero, BSPH
• Duhabel Pagan Figueroa
• Noelyz M. Pagan Rivera
• Pelet OB-GYN LLC
• Indira Judith Pelet Rivera
• Daniel Perez Baez, DC
• Paola Noemi Perez Custodio
• Natividad Perez de Jesus, PT
• Jose M Perez Garcia, M.D.
• Irelis Perez, M.S

• Specialist in Barceloneta, PR
• Providers in Barceloneta, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.