Pekes En Desarrollo

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

810 Issued in PR

Legal business name

PEKES EN DESARROLLO

Practice address

160 Marginal Lago Alto
Plaza San Miguel 207
Trujillo Alto, PR 00976-3906

Phone

(787) 292-2534

NPI assigned

Mar 30, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Gavilan, OTL

Title

Directora Clinica/T.O

Phone

(787) 292-2534

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Gavilan Mercado, OTL

  • Pediatric Occupational Therapist
  • Trujillo Alto, PR
  • NPI 1346578382
  NPD (past)

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1992094981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MARGINAL LAGO ALTO",
            "address_2": "PLAZA SAN MIGUEL 207",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763906",
            "telephone_number": "787-292-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MARGINAL LAGO ALTO",
            "address_2": "PLAZA SAN MIGUEL 207",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009763906",
            "telephone_number": "787-292-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEKES EN DESARROLLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "GAVILAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTORA CLINICA/T.O",
        "authorized_official_telephone_number": "787-292-2534",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTL"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "689",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "PR",
            "license": "810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria F Pardo, M.D.
• Julisa Paredes, M.D.
• Janet Erena Parrado
• Dora Liz Pastrana X
• Pediatric & Adult Medical Service, Ambulance Inc
• Pekes Therapy Zone Inc
• Maria Cristina Perales Velez
• Robert Peralta, M.A.
• Felix Pereira Diaz, M.D
• Jackeline Perez Carrasquillo I, LICENCIADA

• Developmental Disabilities Clinic/Center in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Developmental Disabilities Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.