Provider Demographics
NPI:1891857173
Name:ROBLES, ANGELA L (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:L
Last Name: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:PO BOX 1592
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685-1592
Mailing Address - Country:US
Mailing Address - Phone:787-280-3333
Mailing Address - Fax:787-280-3333
Practice Address - Street 1:1151 AVE EMERITO ESTRADA
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685-3016
Practice Address - Country:US
Practice Address - Phone:787-280-3333
Practice Address - Fax:787-280-3333
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10633208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics