MEDICARE: ENRIQUE ANTOLIN ROBLES MD

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	207R00000X	Internal Medicine Physician	MD5679	DC
2	207RG0100X	Gastroenterology Physician	MD5679	DC

General Provider Information

NPI Number	:	1154315653
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ENRIQUE ANTOLIN ROBLES MD

Provider Business Mailing Address
First Line	:	106 IRVING ST NW
Second Line	:	SUITE 421-SOUTH
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2927
Country	:	US
Telephone Number	:	202-723-6599
Fax Number	:	202-723-6686

Provider Business Practice Location Address
First Line	:	106 IRVING ST NW
Second Line	:	SUITE 421-SOUTH
City	:	WASHINGTON
State	:	DC
Zip	:	20010-2927
Country	:	US
Telephone Number	:	202-723-6599
Fax Number	:	202-723-6686

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	07/21/2010

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Directions to “ ENRIQUE ANTOLIN ROBLES MD” Practice Location

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