# PEKES EN DESARROLLO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992094981
- **Authorized official:** MRS. MELISSA GAVILAN OTL (DIRECTORA CLINICA/T.O)
- **Authorized official phone:** (787) 292-2534

## Contact information

- **Practice address:** 160 MARGINAL LAGO ALTO, PLAZA SAN MIGUEL 207, TRUJILLO ALTO, PR 00976-3906
- **Practice address phone:** (787) 292-2534
- **Mailing address:** 160 MARGINAL LAGO ALTO, PLAZA SAN MIGUEL 207, TRUJILLO ALTO, PR 00976-3906
- **Mailing address phone:** (787) 292-2534

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 689 | PR | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | 810 | PR | Yes |

## Other

- **Enumeration date:** 03/30/2011
- **Last updated:** 03/30/2011