Provider Demographics
NPI:1104400233
Name:ROBLES, YARIELIS (PSY D)
Entity Type:Individual
Prefix:DR
First Name:YARIELIS
Middle Name:
Last Name:ROBLES
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 136
Mailing Address - Street 2:
Mailing Address - City:SAN LORENZO
Mailing Address - State:PR
Mailing Address - Zip Code:00754-0136
Mailing Address - Country:US
Mailing Address - Phone:787-220-3410
Mailing Address - Fax:
Practice Address - Street 1:100 AVE SAN PATRICIO
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-2608
Practice Address - Country:US
Practice Address - Phone:787-220-3410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-05
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6892103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical