Provider Demographics
NPI:1154755841
Name:CASTRO-ROBLES, GRISELLE (RN)
Entity type:Individual
Prefix:MS
First Name:GRISELLE
Middle Name:
Last Name:CASTRO-ROBLES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EDIFICIO D 55 APT. 279
Mailing Address - Street 2:CONDOMINIO LOS NARANJALES
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-390-5925
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO D 55 APT. 279
Practice Address - Street 2:CONDOMINIO LOS NARANJALES
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-390-5925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15357 A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse