Provider Demographics
NPI:1972765824
Name:ROBERT ASHBY
Entity Type:Organization
Organization Name:ROBERT ASHBY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:ASHBY REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-647-6174
Mailing Address - Street 1:#450 AVE PERIFERAL APT 102
Mailing Address - Street 2:COND PRADOS DE CUPEY
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-647-6174
Mailing Address - Fax:
Practice Address - Street 1:#450 AVE PERIFERAL APT 102
Practice Address - Street 2:COND PRADOS DE CUPEY
Practice Address - City:TRUJILLO ALTO
Practice Address - State:PR
Practice Address - Zip Code:00976
Practice Address - Country:US
Practice Address - Phone:787-647-6174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management