Igdalis Roldan, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ARNP1737192 Issued in FL

Practice address

1460 SW 67TH Ter
Plantation, FL 33317-5144

Phone

(954) 861-7522

Fax

(954) 916-9436

NPI assigned

Jun 16, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aging Paradise Inc Home health agency, Oakland Park, FL, CCN 109502

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Convenient Practitioner Services PA

  • Family Medicine Physician
  • Davie, FL
  • NPI 1063656155
  Medicare reassignment NPD
• Mobile Practitioner Services to You Inc

  • Family Nurse Practitioner
  • Davie, FL
  • NPI 1659772259
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aging Paradise Inc.

  • Home Health Agency
  • Oakland Park, FL
  • NPI 1427224666
  Care Compare affiliation

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1629012885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 SW 67TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175144",
            "telephone_number": "954-861-7522",
            "fax_number": "954-916-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 SW 67TH TER",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333175144",
            "telephone_number": "954-861-7522",
            "fax_number": "954-916-9436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 SW 67th Ter",
            "address_purpose": "LOCATION",
            "city": "Plantation",
            "state": "FL",
            "postal_code": "333175144",
            "country_code": "US",
            "telephone_number": "954-861-7522",
            "fax_number": "954-916-9436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLDAN",
        "first_name": "IGDALIS",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ARNP1737192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302121100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS/BC",
            "identifier": "Y7130",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APRN1737192",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa A Rojas Arias
• Katerine Rojas Pedraza
• Janina Rojas, MD
• Jose Rojas Jr., M.D.
• Maria Alexandra Rojas, M.D.
• April Raquel Rolle, M.D.
• Audie Rolnick, MD
• Candice Sherrell Roman- Boyd, CPNP-PC
• Carlos Jefferson Roman, DO
• Giovanni Romero

• Family Medicine Physician in Plantation, FL
• Providers in Plantation, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.