| Doctor Name: | MRS. IDANIA ROLDAN |
| NPI Number: | 1154380814 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | O.T.L. |
| License Number: | 1064 |
| Business Practice Address: | St.1d21 Urb. Santa Maria Ceiba, PR - 00924 |
| Business Phone Number: | 7877768663 |
| Business Fax Number: | 7877649904 |
| Mailing Address: | St.1d21 Urb. Santa Maria, CEIBA |
| State: | PR |
| Postal Code: | 00924 |
| Phone Number: | 7877768663 |
| Fax Number: | 7877649904 |
| NPI Enumeration Date: | 03/21/2006 |
| NPI Last Update Date: | 02/06/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XE1200X |
| License Number: | 1064 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Ergonomics |
| Taxonomy Definition: | |