Individual provider Active NPI

Jose A Roldan-Correa, MT

  • Medical Laboratory Technician
  • Caguas, PR
National Provider Identifier
1164415758
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Laboratory TechnicianTaxonomy code 246RM2200X
License
948 Issued in PR
Practice address
State Road 798 KM 0.5 Bo. Rio Canas
Caguas, PR 00725
Phone
(787) 747-1930
Fax
(787) 747-5931
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Laboratory Technician 246RM2200X 948 PR Primary

Addresses

Primary practice location

State Road 798 KM 0.5 Bo. Rio Canas
Caguas, PR 00725

Mailing address

280 La Serrania
Caguas, PR 00725-1810
Phone (787) 747-1930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Jose a. Roldan-Correa Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164415758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 LA SERRANIA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007251810",
            "telephone_number": "787-747-1930",
            "fax_number": "787-747-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE ROAD 798 KM 0.5 BO. RIO CANAS",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-747-1930",
            "fax_number": "787-747-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDAN-CORREA",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": "PR",
            "license": "948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.