Provider Demographics
NPI:1154617884
Name:ADAMES, LOURDES (PATOLOGA DEL HABLA)
Entity type:Individual
Prefix:MRS
First Name:LOURDES
Middle Name:
Last Name:ADAMES
Suffix:
Gender:F
Credentials:PATOLOGA DEL HABLA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE VIA ERIE BH 11
Mailing Address - Street 2:URB. BOSQUE DEL LAGO
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-224-7468
Mailing Address - Fax:
Practice Address - Street 1:CALLE VIA ERIE BH 11
Practice Address - Street 2:URB. BOSQUE DEL LAGO
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976-4008
Practice Address - Country:US
Practice Address - Phone:787-224-7468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR553235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist