Doctor Name: | DR. JUAN LUIS ROBLES NIEVES |
NPI Number: | 1417280603 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 17732 |
Business Practice Address: | 70 Calle Severo Arana San Sebastian, PR - 006852226 |
Business Phone Number: | 7878962479 |
Business Fax Number: | |
Mailing Address: | Po Box 609, SAN SEBASTIAN |
State: | PR |
Postal Code: | 006850609 |
Phone Number: | 7878962479 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2009 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17732 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |