Active NPI
Mario E Robles Martinez, DMD
- General Practice Dentistry
- San Juan, PR
National Provider Identifier
1851595490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 964
- Practice address
- Ave Apolo a-2 Alto Apolo
San Juan, PR 00969 - Phone
- (787) 272-0152
- Fax
- (787) 272-0150
- NPI assigned
- Jun 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 964 | PR | Primary |
Addresses
Primary practice location
Ave Apolo a-2 Alto Apolo
San Juan, PR 00969
Mailing address
PO Box 51185
Levittown, PR 00950
Phone (787) 272-0152
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41219 | Other | PR | BLUE CROSS PR |
| 9500040 | Other | HUMANA | |
| 206779 | Other | REFERRED HEALTH | |
| 3626 | Other | FIRST MEDICAL | |
| 41152 | Other | PR | SSS |
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": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851595490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51185",
"city": "LEVITTOWN",
"state": "PR",
"postal_code": "00950",
"telephone_number": "787-272-0152",
"fax_number": "787-272-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE APOLO A-2 ALTO APOLO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-272-0152",
"fax_number": "787-272-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBLES MARTINEZ",
"first_name": "MARIO",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PR",
"identifier": "41219",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9500040",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REFERRED HEALTH",
"identifier": "206779",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST MEDICAL",
"identifier": "3626",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSS",
"identifier": "41152",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Robert Alexander Robinson, MEDICAL STUDENT, BS
- Mercie Robledo Diaz, CPLP
- Ariannette Yaniz Robledo Gomez, M.D.
- Jonathan Robles Diaz
- Lizbeth Robles Irizarry, M.D.
- Catalina Sofia Robles Rivera
- Katherine M Robles Vincenty, PHARM.D., R.PH
- Annette Robles-Ayala, R.PH.
- Carlos R. Robles-Rivera, MD
- Brenda Lee Robles, M.D
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.