Provider Demographics
NPI:1548477383
Name:ROBLES, HECTOR J
Entity type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:J
Last Name:ROBLES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3559 PASEO CONDE
Mailing Address - Street 2:LEVITTOWN
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-3019
Mailing Address - Country:US
Mailing Address - Phone:787-261-9437
Mailing Address - Fax:866-689-3091
Practice Address - Street 1:3559 PASEO CONDE
Practice Address - Street 2:LEVITTOWN
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-3019
Practice Address - Country:US
Practice Address - Phone:787-261-9437
Practice Address - Fax:866-689-3091
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0748183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician