MEDICARE: DR. ILEANA QUILES AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	576	PR

General Provider Information

NPI Number	:	1558538579
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ILEANA QUILES AUD

Provider Business Mailing Address
First Line	:	425 PASEO FLORIDO CIUDAD JARDIN
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-9750
Country	:	US
Telephone Number	:	787-392-9324
Fax Number	:

Provider Business Practice Location Address
First Line	:	978 CALLE BAUHINIA
Second Line	:
City	:	CANOVANAS
State	:	PR
Zip	:	00729-3410
Country	:	US
Telephone Number	:	787-392-9324
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2008
Last Update Date	:	11/28/2025

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