Provider Demographics
NPI:1407984446
Name:ROLDAN, ANA MILAGROS (RPH)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:MILAGROS
Last Name:ROLDAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:Q48 AVE LUIS MUNOZ MARIN
Mailing Address - Street 2:URB VILLA CARMEN
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-747-7974
Mailing Address - Fax:787-744-6889
Practice Address - Street 1:Q48 AVE LUIS MUNOZ MARIN
Practice Address - Street 2:URB VILLA CARMEN
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-3365
Practice Address - Fax:787-744-6889
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3381183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist