Active NPI
Ivette Rosario Robles, M.D.
- Internal Medicine Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME138834
- Practice address
- 708 E Colonial Dr Ste 200
Orlando, FL 32803-4652 - Phone
- (407) 895-9255
- Fax
- (407) 898-9019
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME138834 | FL | Primary |
Addresses
Primary practice location
708 E Colonial Dr Ste 200
Orlando, FL 32803-4652
Mailing address
308 W Bass St
Kissimmee, FL 34741-5001
Phone (407) 483-8801
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2126 | Other | PR | PREFERED MEDICARE CHOICE |
| 43080782 | Other | PR | UIA |
| 212266 | Other | PR | PREFERED HEALTH PLAN |
| 660606429 | Other | PR | MMM |
| 6420016 | Other | PR | HUMANA INSURANCE |
| 82259 | Other | PR | TRIPLE S |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
308 W Bass St
Kissimmee, FL 34741-5001
Phone (407) 933-1760
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Healthcare Associates, Inc | Current | Accepting new patients |
Locations
308 W Bass St
Kissimmee, FL 34741
Phone (407) 483-8801
708 E Colonial Dr
Ste 200
Orlando, FL 32803
Phone (407) 895-9255
Organizations & group practices 1
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.
-
- Specialist
- Kissimmee, FL
- NPI 1063544963
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Altamonte Springs, FL
- NPI 1518419977
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635120000000",
"number": "1558475194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 W BASS ST",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347415001",
"telephone_number": "407-483-8801",
"fax_number": "407-483-1298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 E COLONIAL DR STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328034652",
"telephone_number": "407-895-9255",
"fax_number": "407-898-9019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSARIO ROBLES",
"first_name": "IVETTE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2021-10-25",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME138834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERED MEDICARE CHOICE",
"identifier": "2126",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UIA",
"identifier": "43080782",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERED HEALTH PLAN",
"identifier": "212266",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "660606429",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INSURANCE",
"identifier": "6420016",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIPLE S",
"identifier": "82259",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.