Provider Demographics
NPI:1356479422
Name:ROBLES PEREZ, CARMEN M (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:M
Last Name:ROBLES PEREZ
Suffix:
Gender:F
Credentials:LPN
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 2021
Mailing Address - Street 2:SUITE 122
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771
Mailing Address - Country:US
Mailing Address - Phone:787-733-2286
Mailing Address - Fax:787-736-0575
Practice Address - Street 1:AVE MUNOZ RIVERA FINAL
Practice Address - Street 2:PLAZA BUXO SL
Practice Address - City:SAN LORENZO
Practice Address - State:PR
Practice Address - Zip Code:00754
Practice Address - Country:US
Practice Address - Phone:787-736-3655
Practice Address - Fax:787-736-0575
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR30174164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse