MR. ERIC R CAMPILLO-JUIG APRN NPI 1205039005

NPI Information

NPI: 1205039005
Provider Name: MR. ERIC R CAMPILLO-JUIG, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
6583 SW 39TH TER
MIAMI, FL
ZIP 33155
Phone: (786) 615-3187
Get Directions

MR. Eric R Campillo-juig, APRN is a psychiatric/mental health nurse practitioner in Miami, FL with 13 years of experience. MR. Eric R Campillo-juig, APRN NPI is 1205039005. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6583 SW 39TH TER
MIAMI, FL
ZIP 33155-821
Phone: (786) 615-3187
Fax: (786) 756-1010

The NPI 1205039005 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/8/2007 and was last updated on 1/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		ARNP 9292654	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	RN9292654	FLORIDA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	ARNP 9292654	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	020-979-000	MEDICAID	FLORIDA
2	022-677-800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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