Provider Demographics
NPI:1144336918
Name:CABALLERO-ROBLES, AUGUSTO E (MD)
Entity type:Individual
Prefix:
First Name:AUGUSTO
Middle Name:E
Last Name:CABALLERO-ROBLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JOSLIN DIABETES CENTER
Mailing Address - Street 2:ONE JOSLIN PLACE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215
Mailing Address - Country:US
Mailing Address - Phone:617-226-5914
Mailing Address - Fax:
Practice Address - Street 1:JOSLIN DIABETES CENTER
Practice Address - Street 2:ONE JOSLIN PLACE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-0000
Practice Address - Country:US
Practice Address - Phone:617-226-5914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159984207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism