Mayra Ivelisse Robles

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2292 Issued in PR

Practice address

GJ15 Ave Campo Rico
Carolina, PR 00982-2656

Phone

(787) 257-1860

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Support Services, Inc

  • Clinic/Center
  • Carolina, PR
  • NPI 1902818669
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043340458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "H24 CALLE MIGUEL A GOMEZ",
            "address_2": "IDAMARIS GARDENS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007275718",
            "telephone_number": "939-940-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GJ15 AVE CAMPO RICO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822656",
            "telephone_number": "787-257-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "MAYRA",
        "middle_name": "IVELISSE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Rivero, MD
• Grisselle M Robaina Santiago, MD
• Omayra Robles Aguiar
• Paola Gabriela Robles- Cordero, SLP
• Ivelisse Robles, PT
• Pilar Robles, RNBSN
• Roc Dental Services, P.SC.
• Maria del Amor Rodriguez Alonso, PH.D.
• Yazmin Dalia Rodriguez Bautista
• Vincent X Rodriguez Bury, M.D.

• Clinical Psychologist in Carolina, PR
• Providers in Carolina, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.