Provider Demographics
NPI:1225188816
Name:ROBLES CORTES, PABLO J (MD)
Entity Type:Individual
Prefix:DR
First Name:PABLO
Middle Name:J
Last Name:ROBLES CORTES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 788
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-0788
Mailing Address - Country:US
Mailing Address - Phone:787-899-3442
Mailing Address - Fax:787-264-7291
Practice Address - Street 1:237 CALLE FLAMBOYAN
Practice Address - Street 2:
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-2509
Practice Address - Country:US
Practice Address - Phone:787-899-3442
Practice Address - Fax:787-264-7291
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR13615207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR21367Medicare ID - Type Unspecified