Individual provider Active NPI

Luz Haria Roldan, LPN

  • Licensed Practical Nurse
  • San Juan, PR
National Provider Identifier
1376526038
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
012264 Issued in PR
Practice address
Aveuda 65 Infanteria Ki B4
Barrio Sabana Llana
San Juan, PR 00954
Phone
(787) 767-7676
Fax
(787) 764-9904
NPI assigned
Nov 26, 2005
Sex
Female
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
Licensed Practical Nurse 164W00000X 012264 PR Primary

Addresses

Primary practice location

Aveuda 65 Infanteria Ki B4
Barrio Sabana Llana
San Juan, PR 00954

Mailing address

Cond Golden View Plaza
Apartameto 1906
San Juan, PR 00924

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

State licenses

LicenseStateTypeSpecialty
012264PRMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376526038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND GOLDEN VIEW PLAZA",
            "address_2": "APARTAMETO 1906",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "fax_number": "787-764-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVEUDA 65 INFANTERIA KI B4",
            "address_2": "BARRIO SABANA LLANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00954",
            "telephone_number": "787-767-7676",
            "fax_number": "787-764-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "LUZ",
        "middle_name": "HARIA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PR",
            "license": "012264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, 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.