MEDICARE: DR. PABLO J ROBLES CORTES M.D.

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	13615	PR

General Provider Information

NPI Number	:	1225188816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PABLO J ROBLES CORTES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 788
Second Line	:
City	:	CABO ROJO
State	:	PR
Zip	:	00623-0788
Country	:	US
Telephone Number	:	787-899-3442
Fax Number	:	787-264-7291

Provider Business Practice Location Address
First Line	:	237 CALLE FLAMBOYAN
Second Line	:
City	:	LAJAS
State	:	PR
Zip	:	00667-2509
Country	:	US
Telephone Number	:	787-899-3442
Fax Number	:	787-264-7291

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	09/05/2012

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