Healthcare Provider Details

I. General information

NPI: 1851265342
Provider Name (Legal Business Name): ROILAN ZALDIVAR SANTIESTEBAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2025
Last Update Date: 09/30/2025
Certification Date: 09/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 S HAVERHILL RD
WEST PALM BEACH FL
33415-3810
US

IV. Provider business mailing address

928 S HAVERHILL RD
WEST PALM BEACH FL
33415-3810
US

V. Phone/Fax

Practice location:
  • Phone: 561-907-9098
  • Fax:
Mailing address:
  • Phone: 561-907-9098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: