Provider Demographics
NPI:1164312005
Name:QUILES SANTOS, LOURDES ISABEL (MSW,MS-PHL)
Entity type:Individual
Prefix:
First Name:LOURDES
Middle Name:ISABEL
Last Name:QUILES SANTOS
Suffix:
Gender:F
Credentials:MSW,MS-PHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. FREIRE CALLE DIAMENTE 63
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739
Mailing Address - Country:US
Mailing Address - Phone:787-377-1888
Mailing Address - Fax:
Practice Address - Street 1:URB. FREIRE CALLE DIAMENTE 63
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-377-1888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4496235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty