Provider Demographics
NPI:1891905592
Name:ROLDAN, NEYLA (MD)
Entity Type:Individual
Prefix:DR
First Name:NEYLA
Middle Name:
Last Name:ROLDAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 CALLE VIOLETA
Mailing Address - Street 2:URB. SAN FRANCISCO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6224
Mailing Address - Country:US
Mailing Address - Phone:787-753-1275
Mailing Address - Fax:787-274-1638
Practice Address - Street 1:201 DE DIEGO AVE.
Practice Address - Street 2:SUITE 153
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-753-1275
Practice Address - Fax:787-274-1638
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9693207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine