Provider Demographics
NPI:1497913354
Name:EMPRESAS ROBLES INC
Entity Type:Organization
Organization Name:EMPRESAS ROBLES INC
Other - Org Name:MARIA L ROBLES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:787-787-4036
Mailing Address - Street 1:PO BOX 3423
Mailing Address - Street 2:BAYAMON GARDENS STA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00958-0423
Mailing Address - Country:US
Mailing Address - Phone:787-787-4036
Mailing Address - Fax:787-780-2118
Practice Address - Street 1:SAN FERNANDO
Practice Address - Street 2:E-18 AVE HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-1769
Practice Address - Country:US
Practice Address - Phone:787-787-4036
Practice Address - Fax:787-780-2118
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-28
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPR 095-050332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRU97669Medicare UPIN
PR0054379Medicare PIN