MEDICARE: JORGE F. ROBLES, M.D. A MEDICAL CORPORATION

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	305R00000X	Preferred Provider Organization	A52681	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1871853861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JORGE F. ROBLES, M.D. A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	1501 OCOTILLO DR
Second Line	:	SUITE C
City	:	EL CENTRO
State	:	CA
Zip	:	92243-4217
Country	:	US
Telephone Number	:	760-353-6363
Fax Number	:	760-353-0630

Provider Business Practice Location Address
First Line	:	1501 OCOTILLO DR
Second Line	:	SUITE C
City	:	EL CENTRO
State	:	CA
Zip	:	92243-4217
Country	:	US
Telephone Number	:	760-353-6363
Fax Number	:	760-353-0630

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JORGE FERNANDO ROBLES
Credential	:	MD
Telephone Number	:	760-353-6363

Provider Enumeration Date	:	05/23/2012
Last Update Date	:	06/20/2023

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