Active NPI
Maria Luz Roldan, M.D.
- Pediatrics Physician
- Cidra, PR
National Provider Identifier
1376744052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 10851
- Practice address
- Ave. El Jibaro, Carr. 172, KM. 13.5
Bo. Bayamon Int
Cidra, PR 00739 - Phone
- (787) 739-8182
- Fax
- (787) 739-8190
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 10851 | PR | Primary |
Addresses
Primary practice location
Ave. El Jibaro, Carr. 172, KM. 13.5
Bo. Bayamon Int
Cidra, PR 00739
Mailing address
24 Barranquitas
Bonneville Heights
Caguas, PR 00727
Phone (787) 645-3823
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10851 | PR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437955200000",
"number": "1376744052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BARRANQUITAS",
"address_2": "BONNEVILLE HEIGHTS",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00727",
"telephone_number": "787-645-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE. EL JIBARO, CARR. 172, KM. 13.5",
"address_2": "BO. BAYAMON INT",
"city": "CIDRA",
"state": "PR",
"postal_code": "00739",
"telephone_number": "787-739-8182",
"fax_number": "787-739-8190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "MARIA",
"middle_name": "LUZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2015-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "10851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cidra, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.