Healthcare Provider Details

I. General information

NPI: 1235053893
Provider Name (Legal Business Name): ROLDAN FAMILY AMBULANCE TRANSPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO MARAVILLA NORTE CARR. 119 INTERIOR KM 26.3
LAS MARIAS PR
00670
US

IV. Provider business mailing address

HC 2 BOX 8414
LAS MARIAS PR
00670-9009
US

V. Phone/Fax

Practice location:
  • Phone: 787-315-4459
  • Fax: 787-651-3343
Mailing address:
  • Phone: 787-315-4459
  • Fax: 787-651-3343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: LUIS R ROLDAN-IRIZARRY
Title or Position: PRESIDENT
Credential: TEM
Phone: 787-315-4459