Provider Demographics
NPI:1194123307
Name:SANCHEZ, LOURDES DEL CARMEN (PHL)
Entity type:Individual
Prefix:
First Name:LOURDES
Middle Name:DEL CARMEN
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PHL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 CALLE ISLA VERDE
Mailing Address - Street 2:URB, VLLAS DE LA PLAYA
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-6051
Mailing Address - Country:US
Mailing Address - Phone:939-639-3996
Mailing Address - Fax:
Practice Address - Street 1:338 CALLE ISLA VERDE
Practice Address - Street 2:URB, VLLAS DE LA PLAYA
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-6051
Practice Address - Country:US
Practice Address - Phone:939-639-3996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR329235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist