Provider Demographics
NPI:1003881525
Name:BIRD, ROBIN LYN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:LYN
Last Name:BIRD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:USNH GUANTANAMO BAY, CUBA
Mailing Address - Street 2:BOX#39
Mailing Address - City:FPO
Mailing Address - State:AE
Mailing Address - Zip Code:09589
Mailing Address - Country:CU
Mailing Address - Phone:011-5399
Mailing Address - Fax:
Practice Address - Street 1:USNH-GTMO
Practice Address - Street 2:BOX #39
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09589
Practice Address - Country:CU
Practice Address - Phone:619-575-8971
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA73808208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice