Individual
SANDRA Y ROBLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 AUDUBON PLAZA DR, STE. LL-2, LOUISVILLE, KY 40217-1319
(502) 636-8095
(502) 636-8097
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30019
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000278533
ANTHEM / NCMA
KY
01
—
000028412D
HUMANA / NCMA
KY
01
—
020887
SIHO / NCMA
KY
05
—
200156630
—
IN
01
—
2442617000
PASSPORT ADVANTAGE / NCMA
KY
01
—
50000962
PASSPORT / NCMA
KY
05
—
64300197
—
KY
01
—
P00009339
RAILROAD MEDICARE
KY
Enumeration date
04/18/2006
Last updated
02/02/2017
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