Elga Maytee Deliz Roldan, AU.D54

Primary specialty

AudiologistTaxonomy code 231H00000X

License

583 Issued in PR

Practice address

2716 Roberto Clemente Ave.
Urb. Villa Carolina
Carolina, PR 00985

Phone

(787) 762-3737

Fax

(787) 762-3737

NPI assigned

Jul 19, 2006

Last updated

Apr 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Centro Familiar de Servicios Audiologicos Corp

  • Audiologist-Hearing Aid Fitter
  • Carolina, PR
  • NPI 1619009768
  Medicare reassignment NPD
• Martell Enterprises Inc

  dba Audiosalud Centro Audiologico Alivio Dorado

  • Hearing Aid Equipment
  • Carolina, PR
  • NPI 1285898205
  Medicare reassignment NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1316966161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31-1 CALLE 31",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009832962",
            "telephone_number": "939-639-2845",
            "fax_number": "787-762-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 ROBERTO CLEMENTE AVE.",
            "address_2": "URB. VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-762-3737",
            "fax_number": "787-762-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIZ ROLDAN",
        "first_name": "ELGA",
        "middle_name": "MAYTEE",
        "name_prefix": "Mrs.",
        "credential": "AU.D54",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando M Del Amo, MD
• Efrain Del Valle, M.D
• Irene Gan Dela Torre, CNM
• Anel Delgado
• Maritza Delgado
• Josue Delucca, PT
• Betzaida Deniz
• Dentalia Medika Corp
• Departamento de Salud Oficial
• Bernardo Antonio Depaz Reyes, MD

• Audiologist in Carolina, PR
• Providers in Carolina, PR by specialty
• Audiologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.