Individual provider Active NPI

Millinette Roldan Torres, FNP-BC

  • Family Nurse Practitioner
  • San Juan, PR
National Provider Identifier
1669176863
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4543 Issued in PR
Practice address
300 Ave Felisa Rincon
Las Vistas Shopping Village Suite #43
San Juan, PR 00926-5970
Phone
(787) 761-5880
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4543 PR Primary

Addresses

Primary practice location

300 Ave Felisa Rincon
Las Vistas Shopping Village Suite #43
San Juan, PR 00926-5970

Mailing address

300 Ave Felisa Rincon
Las Vistas Shopping Village Suite #43
San Juan, PR 00926-5970
Phone (787) 761-5880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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

Enrollment IDStateProvider typePAC IDDetails
I20250312003198 PR Practitioner - Nurse Practitioner 3779004205 Practice locations: Carolina, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4543PRMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1669176863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVE FELISA RINCON",
            "address_2": "LAS VISTAS SHOPPING VILLAGE SUITE #43",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265970",
            "telephone_number": "787-761-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 AVE FELISA RINCON",
            "address_2": "LAS VISTAS SHOPPING VILLAGE SUITE #43",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265970",
            "telephone_number": "787-761-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLDAN TORRES",
        "first_name": "MILLINETTE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PR",
            "license": "4543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.