Active NPI
Jose Roldan
- Pharmacy Technician
- San Juan, PR
National Provider Identifier
1790180925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- Practice address
- 842 KM 3.6
Camino Modesto Diaz
San Juan, PR 00926 - Phone
- (787) 232-8405
- NPI assigned
- Oct 30, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | Primary | ||
| Pharmacy Technician | 183700000X | PR |
Addresses
Primary practice location
842 KM 3.6
Camino Modesto Diaz
San Juan, PR 00926
Mailing address
842 KM 3.6 Camino Modesto Diaz
San Juan, PR 00926
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": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414627200000",
"number": "1790180925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 KM 3.6 CAMINO MODESTO DIAZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 KM 3.6",
"address_2": "CAMINO MODESTO DIAZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-232-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "JOSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-30",
"last_updated": "2014-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "PR",
"license": null,
"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 Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.