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NPI Code Detail

MEDICARE: MRS. EDNA I ROBLES MD

MEDICARE: MRS. EDNA I 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
1208D00000XGeneral Practice Physician13601PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
113601OTHERPRASUICA
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497858401
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EDNA I ROBLES MD
Provider Business Mailing Address
First Line : 110 AVE LOS FILTROS
Second Line : COND PLAZA DE TORRIMAS I. , STE 2102
City : BAYAREON
State : PR
Zip : 00959
Country : US
Telephone Number : 787-875-3375
Fax Number : 787-875-4230
Provider Business Practice Location Address
First Line : 107 CALLE PADRE LAS CASAS
Second Line : URB EL VEDADO
City : SAN JUAN
State : PR
Zip : 00918-3104
Country : US
Telephone Number : 787-767-8758
Fax Number : 787-250-9265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2006
Last Update Date : 10/09/2012

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