Healthcare Provider Details

I. General information

NPI: 1639031073
Provider Name (Legal Business Name): PEQUENOS PASOS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 459 BO CORRALES KM 0.2
AGUADILLA PR
00603
US

IV. Provider business mailing address

HC 8 BOX 24711
AGUADILLA PR
00603-9652
US

V. Phone/Fax

Practice location:
  • Phone: 787-932-7817
  • Fax:
Mailing address:
  • Phone: 787-932-7817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MAHELIZ PELLOT
Title or Position: PRESIDENT
Credential: PHD
Phone: 787-431-7384