Doctor Name: | CARLOS ROBLES |
NPI Number: | 1568455582 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 6802 |
Business Practice Address: | Calle Mendez Vigo 332 Dorado, PR - 006464924 |
Business Phone Number: | 7877962315 |
Business Fax Number: | 7872780076 |
Mailing Address: | Calle Mendez Vigo, 332 DORADO |
State: | PR |
Postal Code: | 006464924 |
Phone Number: | 7877962315 |
Fax Number: | 7872780076 |
NPI Enumeration Date: | 08/24/2005 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 6802 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |