Active NPI
Carlos J Robles, DMD
- Dentist
- Barceloneta, PR
National Provider Identifier
1053467134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2456
- Practice address
- 1 Cruce Davila Carr. #2
Barceloneta, PR 00617 - Phone
- (787) 970-0000
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2456 | PR | Primary |
Addresses
Primary practice location
1 Cruce Davila Carr. #2
Barceloneta, PR 00617
Mailing address
PO Box 140477
Arecibo, PR 00614-0477
Phone (787) 970-0000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042038 | Other | PR | CRUZ AZUL DENTAL PLAN |
| 206962 | Other | PR | PREFERED HEALTH DENTAL |
| 42416 | Other | PR | TRIPLE S DENTAL PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053467134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 140477",
"city": "ARECIBO",
"state": "PR",
"postal_code": "006140477",
"telephone_number": "787-970-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CRUCE DAVILA CARR. #2",
"city": "BARCELONETA",
"state": "PR",
"postal_code": "00617",
"telephone_number": "787-970-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES",
"first_name": "CARLOS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "2456",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRUZ AZUL DENTAL PLAN",
"identifier": "042038",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERED HEALTH DENTAL",
"identifier": "206962",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S DENTAL PLAN",
"identifier": "42416",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barceloneta, PR
Sources for this page
- 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.