Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | ME62830 | FL |
N | 111NI0900X | Internist | ME62830 | FL |
Y | 207RG0100X | Gastroenterologist | ME62830 | FL |
NPI | 1033180633 |
---|---|
Provider Name | Mrs. Frances E Robles Pena |
First Address | Miami, FL 33243-0955 |
Second Address | Miami, FL 33173-3451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2006 |
Last Update Date | 22/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
254791100 | (05) | FL |
E39984 | (02) |