Healthcare Provider Details

I. General information

NPI: 1407703176
Provider Name (Legal Business Name): JLR ANESTHESIA GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB LA HACIENDA AVE PEDRO ALBIZU CAMPOS STE 307
GUAYAMA PR
00784-0011
US

IV. Provider business mailing address

PO BOX 2998
GUAYAMA PR
00785-2998
US

V. Phone/Fax

Practice location:
  • Phone: 787-318-0328
  • Fax:
Mailing address:
  • Phone: 787-318-0328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: DR. JORGE L ROBLES
Title or Position: PRESIDENT
Credential: MD
Phone: 787-318-0328