Provider Demographics
NPI:1508866682
Name:ROBLES, ROSA M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSA
Middle Name:M
Last Name:ROBLES
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:10495 MONTGOMERY RD
Mailing Address - Street 2:SUITE 15
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4468
Mailing Address - Country:US
Mailing Address - Phone:513-936-8900
Mailing Address - Fax:513-936-8912
Practice Address - Street 1:10495 MONTGOMERY RD
Practice Address - Street 2:SUITE 15
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-4468
Practice Address - Country:US
Practice Address - Phone:513-936-8900
Practice Address - Fax:513-936-8912
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2008-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35060924R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0917655Medicaid
OHF37606Medicare UPIN
OH0817247Medicare PIN