Individual provider Active NPI

Juan Luis Robles Nieves, M.D.

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1417280603
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17732 Issued in PR
Practice address
70 Calle Severo Arana
San Sebastian, PR 00685-2226
Phone
(787) 896-2479
NPI assigned
Sep 7, 2009
Last updated
Apr 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17732 PR Primary

Addresses

Primary practice location

70 Calle Severo Arana
San Sebastian, PR 00685-2226

Mailing address

PO Box 609
San Sebastian, PR 00685-0609
Phone (787) 896-2479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101001329 PR Practitioner - General PracticePractitioner - General Surgery 2567656713 Reassigns benefits to 1 organization
Practice locations: Arecibo, PR

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 10 KM
Arecibo, PR 00612
Phone (787) 880-3843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Inmuni, LLC CurrentSince Jan 2, 2021 Accepting new patients
Utuado Health Hospital Corp General Practice PastSince Apr 29, 2025 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1252281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397520000000",
    "number": "1417280603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850609",
            "telephone_number": "787-896-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CALLE SEVERO ARANA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006852226",
            "telephone_number": "787-896-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES NIEVES",
        "first_name": "JUAN",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-07",
        "last_updated": "2014-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.