Individual
DR. LISA S ROBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2019 GALISTEO ST, STE A-3, SANTA FE, NM 87505-2143
(505) 988-2117
(505) 988-2119
Mailing address
2019 GALISTEO ST, STE A3, SANTA FE, NM 87505-2143
(505) 988-2117
(505) 988-2119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NM96-353
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201025581
PRESBYTERIAN HEALTH SALUD
NM
05
—
54131022
—
NM
01
—
743118622
TAX ID
NM
01
—
NM029745
BLUE CROSS BLUE SHIELD
NM
Enumeration date
11/13/2006
Last updated
03/12/2019
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