Provider Demographics
NPI:1669760922
Name:ROBLES, ELSA M (RN)
Entity type:Individual
Prefix:MRS
First Name:ELSA
Middle Name:M
Last Name:ROBLES
Suffix:
Gender:F
Credentials:RN
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 4258
Mailing Address - Street 2:BAYAMON GARDEN STATION
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00958
Mailing Address - Country:US
Mailing Address - Phone:787-219-3633
Mailing Address - Fax:
Practice Address - Street 1:AVE. LAUREL
Practice Address - Street 2:#100 ESQUINA LOS MILLONES SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-1258
Practice Address - Country:US
Practice Address - Phone:787-219-3633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16950163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse