Provider Demographics
NPI:1326036294
Name:ROBLES, SOL A (MD)
Entity Type:Individual
Prefix:MRS
First Name:SOL
Middle Name:A
Last Name:ROBLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:SOL
Other - Middle Name:A
Other - Last Name:ROBLES-GONZALEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1442
Mailing Address - Street 2:CALLE 14 #173 PARCELA PORTUNA
Mailing Address - City:LUQUILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00773-1442
Mailing Address - Country:US
Mailing Address - Phone:787-206-2122
Mailing Address - Fax:
Practice Address - Street 1:LUQUILLO PLAZA LOCAL 14
Practice Address - Street 2:
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773
Practice Address - Country:US
Practice Address - Phone:787-206-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14686208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice