Provider Demographics
NPI:1336717115
Name:SANTOS, ARIANNE MAE CUBILLO
Entity type:Individual
Prefix:MRS
First Name:ARIANNE
Middle Name:MAE CUBILLO
Last Name:SANTOS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2433 PLAZA EVA
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-4427
Mailing Address - Country:US
Mailing Address - Phone:619-793-7739
Mailing Address - Fax:
Practice Address - Street 1:2433 PLAZA EVA
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-4427
Practice Address - Country:US
Practice Address - Phone:619-793-7739
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-16
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31273235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist