Active NPI
Marie Lee Roldan, CPL
- School Counselor
- Guayama, PR
National Provider Identifier
1629832068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 1963
- Practice address
- F25 Calle 3
Guayama, PR 00784-6662 - Phone
- (787) 866-8530
- NPI assigned
- Feb 7, 2024
- 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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 1963 | PR | Primary |
Addresses
Primary practice location
F25 Calle 3
Guayama, PR 00784-6662
Mailing address
F25 Calle 3
Guayama, PR 00784-6662
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1963 | PR | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1629832068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "F25 CALLE 3",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007846662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "F25 CALLE 3",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "007846662",
"telephone_number": "787-866-8530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "MARIE",
"middle_name": "LEE",
"credential": "CPL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "PR",
"license": "1963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Guayama, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.