MEDICARE: CARLOS ROBLES

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	208D00000X	General Practice Physician	6802	PR

General Provider Information

NPI Number	:	1568455582
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS ROBLES

Provider Business Mailing Address
First Line	:	CALLE MENDEZ VIGO
Second Line	:	332
City	:	DORADO
State	:	PR
Zip	:	00646-4924
Country	:	US
Telephone Number	:	787-796-2315
Fax Number	:	787-278-0076

Provider Business Practice Location Address
First Line	:	CALLE MENDEZ VIGO
Second Line	:	332
City	:	DORADO
State	:	PR
Zip	:	00646-4924
Country	:	US
Telephone Number	:	787-796-2315
Fax Number	:	787-278-0076

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	10/01/2012

Similar Medicare Providers

1790749489 — DR. LUIS M TIRADO DMD
Practice Location Address:

CALLE MENDEZ VIGO
DORADO, PR
00646-4924

Practice Phone: 787-796-3693
Practice Fax:

1831155092 — DR. LUIS ANTONIO PAGAN MD
Practice Location Address:

CALLE MENDEZ VIGO , PABELLON RHC
DORADO, PR
00646-4924

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1265462964 — CALEB MEDICAL SUPPLIES, INC.
Practice Location Address:

CALLE MENDEZ VIGO # 261
DORADO, PR
00646-4924

Practice Phone: 787-796-5944
Practice Fax: 787-796-2215

1528285962 — LABORATORIO CLINICO LARACUENTE
Practice Location Address:

CALLE MENDEZ VIGO # 291
DORADO, PR
00646-4924

Practice Phone: 787-796-1003
Practice Fax: 787-796-1003

1750559399 — DR. DEBORAH CRUZ PSY.D
Practice Location Address:

CALLE MENDEZ VIGO # 410 , OFICINA # 203 (ALTOS DORADO CAFE)
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00646-4924

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Practice Fax:

1427281211 — XIOMARA RIVERA
Practice Location Address:

CALLE MENDEZ VIGO # 269
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Practice Phone: 787-796-1155
Practice Fax:

Directions to “ CARLOS ROBLES ” Practice Location

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