Provider Demographics
NPI:1073527701
Name:RINALDI JOBET, ROBERTO L (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERTO
Middle Name:L
Last Name:RINALDI JOBET
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ROBERTO
Other - Middle Name:
Other - Last Name:RINALDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:CALLE 2 E 20
Mailing Address - Street 2:URB LOS ROSALES
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-649-6673
Mailing Address - Fax:787-290-2195
Practice Address - Street 1:8169 CALLE CORDORDRA
Practice Address - Street 2:CONDOMINIO SAN VINCENTE SUITE 5
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1555
Practice Address - Country:US
Practice Address - Phone:787-290-2195
Practice Address - Fax:787-290-2195
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2029103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q22413Medicare UPIN
PR0022578Medicare ID - Type Unspecified