Provider Demographics
NPI:1972554517
Name:ROBLA, JULIO C (MD)
Entity type:Individual
Prefix:
First Name:JULIO
Middle Name:C
Last Name:ROBLA
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:PO BOX 160022
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33116-0022
Mailing Address - Country:US
Mailing Address - Phone:305-275-6770
Mailing Address - Fax:305-275-6440
Practice Address - Street 1:7600 SW 87TH AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3601
Practice Address - Country:US
Practice Address - Phone:305-275-6770
Practice Address - Fax:305-275-6440
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME61390174400000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374252100Medicaid
FL374252100Medicaid