Active NPI
Joshua Antonio Roldan Kalil
- Student in an Organized Health Care Education/Training Program
- Caguas, PR
National Provider Identifier
1639932627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- Via de Campo, Hacienda San Jose, Surena 110
Caguas, PR 00727 - Phone
- (787) 562-6280
- NPI assigned
- Feb 1, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
Via de Campo, Hacienda San Jose, Surena 110
Caguas, PR 00727
Mailing address
Via de Campo, Surena 110, Hacienda San Jose
Caguas, PR 00727
Phone (787) 562-6280
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1639932627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VIA DE CAMPO, SURENA 110, HACIENDA SAN JOSE",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00727",
"telephone_number": "787-562-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VIA DE CAMPO, HACIENDA SAN JOSE, SURENA 110",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00727",
"telephone_number": "787-562-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN KALIL",
"first_name": "JOSHUA",
"middle_name": "ANTONIO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-01",
"last_updated": "2024-02-01",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.