1962057075 NPI number — DR. WILLNELSA REY ROBLES MD

Table of content: DR. WILLNELSA REY ROBLES MD (NPI 1962057075)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962057075 NPI number — DR. WILLNELSA REY ROBLES MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REY ROBLES
Provider First Name:
WILLNELSA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962057075
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/22/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB ESTANCIAS PARAISO
Provider Second Line Business Mailing Address:
209 CALLE CIRUELO
Provider Business Mailing Address City Name:
ISABELA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00662
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-312-1243
Provider Business Mailing Address Fax Number:
787-830-3059

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOSPITAL CIMA ISABELA
Provider Second Line Business Practice Location Address:
KM 1.1 INT CALLE 112 AVE AGUSTIN RAMOS CALERO
Provider Business Practice Location Address City Name:
ISABELA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00662
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-830-2705
Provider Business Practice Location Address Fax Number:
787-830-3059
Provider Enumeration Date:
08/06/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  021487 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)