Organization Active NPI

Rolaradox Western Pediatric Services, Inc.

  • Medical Specialty Clinic/Center
  • Mayaguez, PR
National Provider Identifier
1104511310
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ROLARADOX WESTERN PEDIATRIC SERVICES, INC.
Practice address
60 Calle Dr Ramon E Betances N Ste 208
Mayaguez, PR 00680-6695
Phone
(787) 833-5450
Fax
(787) 265-8844
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Olga Rodriguez, MDNPI 1962484774
Title
President
Phone
(787) 306-4149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

60 Calle Dr Ramon E Betances N Ste 208
Mayaguez, PR 00680-6695

Mailing address

PO Box 366
Mayaguez, PR 00681-0366
Phone (787) 306-4149

National Provider Directory

National Provider Directory

Locations

60 Calle Dr Ramon E Betances N
Ste 208
Mayaguez, PR 00680
Phone (787) 833-5450

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1104511310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810366",
            "telephone_number": "787-306-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CALLE DR RAMON E BETANCES N STE 208",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806695",
            "telephone_number": "787-833-5450",
            "fax_number": "787-265-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROLARADOX WESTERN PEDIATRIC SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "OLGA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-306-4149",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.