Active NPIIndividual providerSole proprietor

Jorge L Roldan, OD

Optometrist in Carolina, Puerto Rico

NPI Number1528114188
Practice location
200 Ave Fragoso Suite 108, Plaza Carolina, Carolina, PR 00983-3130
Fax
787-286-0654
Last updated
November 8, 2023

Jorge L Roldan is an Optometrist based in Carolina, PR. Jorge L Roldan practices in Carolina, PR and has the professional credentials of OD. The NPI Number for Jorge L Roldan is 1528114188 and holds a License No. 212 (PR). The current practice location address for Jorge L Roldan is 200 Ave Fragoso Suite 108, Plaza Carolina, Carolina, PR 00983-3130 and can be reached out via phone at 787-286-0654 and via fax at 787-286-0654.

Provider Profile Details

NPI Number
1528114188
Provider Name
Jorge L Roldan
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
200 Ave Fragoso Suite 108, Plaza Carolina, Carolina, PR 00983-3130
Phone Number
787-286-0654
Fax Number
787-286-0654
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2007
Last Update Date
November 8, 2023
Certification Date
November 7, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Ave Fragoso Suite 108
Plaza Carolina
Carolina, PR 00983-3130
Zip
00983-3130
Phone Number
787-286-0654
Fax Number
787-286-0654
Carolina, PR 00983Get directions →

Provider Business Mailing Address Details

Address
75 Plaza Ocho
Urb Gan Vista II
Gurabo, PR 00778-5057
City
Gurabo
State
PR
Zip
00778-5057
Phone Number
787-435-2932
Fax Number
787-731-5642

License Information

License Number
212
License State
PR
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jorge L Roldan, OD?

The NPI number of Jorge L Roldan, OD is 1528114188. It was assigned on January 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Jorge L Roldan, OD?

Jorge L Roldan, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 212.

Where does Jorge L Roldan, OD practice?

The practice location is 200 Ave Fragoso Suite 108, Plaza Carolina, Carolina, PR 00983-3130. The office can be reached at 787-286-0654 (phone) or 787-286-0654 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528114188 directly on the NPPES registry website.

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