Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist |
NPI | 1508069261 |
---|---|
Provider Name | Dr. Miguel Robledo |
First Address | San Juan, PR 00921-1803 |
Second Address | Toa Baja, PR 00950-1991 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 08/07/2007 |