MEDICARE: LITTLE CHAMPIONS PEDIATRIC CENTER LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	235Z00000X	Speech-Language Pathologist
3	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1710845961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE CHAMPIONS PEDIATRIC CENTER LLC

Provider Business Mailing Address
First Line	:	1818 SW 1ST AVE APT 1804
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-1190
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1818 SW 1ST AVE APT 1804
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-1190
Country	:	US
Telephone Number	:	786-351-2950
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YANET GUTIERREZ
Credential	:
Telephone Number	:	786-351-2950

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “LITTLE CHAMPIONS PEDIATRIC CENTER LLC ” Practice Location

Language	Start Address	Practice Location

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