Provider Demographics
NPI:1942220116
Name:ROBLES, BRENLIZ MERCEDES (MD)
Entity Type:Individual
Prefix:
First Name:BRENLIZ
Middle Name:MERCEDES
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 801293
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-1293
Mailing Address - Country:US
Mailing Address - Phone:787-840-5975
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA LAS AMERICAS
Practice Address - Street 2:HOSPITAL DR.PILA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-848-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13375208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics