Provider Demographics
NPI:1033419049
Name:ROBLES, SHEILYNETTE (SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHEILYNETTE
Middle Name:
Last Name:ROBLES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CALLE AMSTERDAM
Mailing Address - Street 2:OLYMPIC VILLE
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-9675
Mailing Address - Country:US
Mailing Address - Phone:787-241-0707
Mailing Address - Fax:
Practice Address - Street 1:38 MUNOS RIVERA ST
Practice Address - Street 2:TREJO FAMILY CLINIC
Practice Address - City:NAGUABO
Practice Address - State:PR
Practice Address - Zip Code:00718
Practice Address - Country:US
Practice Address - Phone:787-874-3786
Practice Address - Fax:787-874-3786
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR752235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist