Healthcare Provider Details

I. General information

NPI: 1003881525
Provider Name (Legal Business Name): ROBIN LYN BIRD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2006
Last Update Date: 07/13/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

USNH-GTMO BOX #39
FPO AE
09589
CU

IV. Provider business mailing address

USNH GUANTANAMO BAY, CUBA BOX#39
FPO AE
09589
CU

V. Phone/Fax

Practice location:
  • Phone: 619-575-8971
  • Fax:
Mailing address:
  • Phone: 0115399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA73808
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: