Individual provider Active NPI

Edna I Robles, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1497858401
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13601 Issued in PR
Practice address
107 Calle Padre Las Casas
Urb El Vedado
San Juan, PR 00918-3104
Phone
(787) 767-8758
Fax
(787) 250-9265
NPI assigned
Sep 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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 13601 PR Primary

Addresses

Primary practice location

107 Calle Padre Las Casas
Urb El Vedado
San Juan, PR 00918-3104

Mailing address

110 Ave Los Filtros
Cond Plaza de Torrimas I. , Ste 2102
Bayareon, PR 00959
Phone (787) 875-3375

Other identifiers 3

IdentifierTypeStateIssuer
13601OtherPRASUICA
20654MedicaidPR
BR6997045OtherPRDM-134635

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
I20071108000047 PR Practitioner - General Practice 5991892978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinica Las Americas Guaynabo, IncGroup PAC ID 3476504077, 49 clinicians

Practice addresses (Care Compare)

1 Ave Casa Linda
Bayamon, PR 00959-9000
Phone (787) 789-1996

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13601PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Las Americas Guaynabo, Inc CurrentSince Feb 1, 2014 Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Feb 1, 2014 Accepting new patients

Locations

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

Interoperability endpoints

  • Direct secure messaging: edna.roblesrivera@4048.securemail.prognocis.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1497858401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 AVE LOS FILTROS",
            "address_2": "COND PLAZA DE TORRIMAS I. , STE 2102",
            "city": "BAYAREON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-875-3375",
            "fax_number": "787-875-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CALLE PADRE LAS CASAS",
            "address_2": "URB EL VEDADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183104",
            "telephone_number": "787-767-8758",
            "fax_number": "787-250-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBLES",
        "first_name": "EDNA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASUICA",
            "identifier": "13601",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20654",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DM-134635",
            "identifier": "BR6997045",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.