Provider Demographics
NPI:1477860153
Name:DE LA CRUZ-ROBLES, ALBA ESTELA (MD)
Entity Type:Individual
Prefix:
First Name:ALBA
Middle Name:ESTELA
Last Name:DE LA CRUZ-ROBLES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:Z40, AVE. LAUREL, ESQ. NOGAL
Mailing Address - Street 2:LOMAS VERDE MEDICAL CENTER
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-785-1011
Mailing Address - Fax:
Practice Address - Street 1:240, AVE. LAUREL, ESQ. NOGAL
Practice Address - Street 2:LOMAS VERDE MEDICAL CENTER
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-785-1011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14643208D00000X
ZZJUR.NO.10404208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice