Active NPI
Rossely Roldan Reyes, M.D.
- Child & Adolescent Psychiatry Physician
- San Juan, PR
National Provider Identifier
1740483015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 16992
- Practice address
- Ave.Wiston Churchill
287
San Juan, PR 00926 - Phone
- (787) 760-9638
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16992 | PR | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 16992 | PR | Primary |
| General Practice Physician | 208D00000X | 16992 | PR |
Addresses
Primary practice location
Ave.Wiston Churchill
287
San Juan, PR 00926
Mailing address
Calle Quebrada Arenanas Villas del Pilar
B 15
San Juan, PR 00926
Phone (787) 308-2076
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16992 | PR | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mennonite General Hospital Inc. | Current | Accepting new patients | |
| Inspira Behavioral Care Corp | Current | Accepting new patients | |
| Mennonite General Hospital Inc. | Current | Accepting new patients | |
| Inspira Behavioral Care Corp. | Current | Accepting new patients | |
| Mennonite General Hospital Inc | Current | Accepting new patients | |
| Inspira Behavioral Care Corp. | Current | Accepting new patients | |
| Inspira Behavioral Care Corp. | General Practice | Past | Accepting new patients |
| Instituto Psicoterapeutico de PR | General Practice | Past | Accepting new patients |
| Centro de Salud Conductual Menonita Cima | Past | Accepting new patients | |
| Inspira Behavioral Care Corp. | General Practice | Past | Accepting new patients |
| Aps Clinics of Puerto Rico, Inc. | Psychiatry | Past | Accepting new patients |
Locations
15 Calle Hospital
#155
Orocovis, PR 00720
Phone (787) 520-7153
55 Calle Comercio
Yauco, PR 00698
Phone (787) 267-1810
Organizations & group practices 11
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.
-
- Adult Mental Health Clinic/Center
- Cidra, PR
- NPI 1063928596
-
- General Acute Care Hospital
- Aibonito, PR
- NPI 1851320394
-
- Clinic/Center
- Ponce, PR
- NPI 1548084635
-
- Adult Mental Health Clinic/Center
- Carolina, PR
- NPI 1760983399
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ponce, PR
- NPI 1144099813
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orocovis, PR
- NPI 1730544081
-
- Adult Mental Health Clinic/Center
- San Juan, PR
- NPI 1336194448
Psychiatry
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cayey, PR
- NPI 1629528856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1740483015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE QUEBRADA ARENANAS VILLAS DEL PILAR",
"address_2": "B 15",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-308-2076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE.WISTON CHURCHILL",
"address_2": "287",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-760-9638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN REYES",
"first_name": "ROSSELY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-06",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PR",
"license": "16992",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PR",
"license": "16992",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16992",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.