Provider Demographics
NPI:1477263937
Name:GARCIA NOBLET, ROILAN
Entity Type:Individual
Prefix:
First Name:ROILAN
Middle Name:
Last Name:GARCIA NOBLET
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHALETS LAS MUESAS, CAYEY,
Mailing Address - Street 2:EDIF C APT 3C
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736
Mailing Address - Country:US
Mailing Address - Phone:786-253-4631
Mailing Address - Fax:
Practice Address - Street 1:FIRST HOSPITAL PANAMERICANO
Practice Address - Street 2:STATE ROAD 787 KM 1.5
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:786-253-4631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-24
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14610-I208D00000X
PR023146208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice