Alex Antonio Aguirre Roldan

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4762 Issued in PR

Practice address

Urbanizacion Paseo Costa de Sur 210 Calle 4
Aguirre, PR 00704

Phone

(787) 341-2306

NPI assigned

Aug 21, 2023

Last updated

Jun 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1194509299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URBANIZACION PASEO COSTA DEL SUR",
            "address_2": "210 CALLE 4",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "00704",
            "telephone_number": "787-341-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URBANIZACION PASEO COSTA DE SUR 210 CALLE 4",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "00704",
            "telephone_number": "787-341-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUIRRE ROLDAN",
        "first_name": "ALEX",
        "middle_name": "ANTONIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PR",
            "license": "4762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gladys Myriam Alban, M.D.
• Amilsa Ivelisse Ayala Lopez
• Clinica Dental Aguirre del Sur
• Raquel Cruz Hance, M.A. PSY
• Angel Xavier Diaz Rodriguez, RDN

• Family Nurse Practitioner in Aguirre, PR
• Providers in Aguirre, PR by specialty
• Family Nurse Practitioner in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.