MEDICARE: GUSTAVO ROLDAN ED.S., M.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	101YM0800X	Mental Health Counselor	MH23314	FL

General Provider Information

NPI Number	:	1124873104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GUSTAVO ROLDAN ED.S., M.A.

Provider Business Mailing Address
First Line	:	13595 SW 134TH AVE STE 201
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4580
Country	:	US
Telephone Number	:	305-984-4577
Fax Number	:

Provider Business Practice Location Address
First Line	:	13595 SW 134TH AVE STE 201
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4580
Country	:	US
Telephone Number	:	305-984-4577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2024
Last Update Date	:	01/15/2025

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1740558584 — KENNER GUTIERREZ MA
Practice Location Address:

13595 SW 134TH AVE STE 207
MIAMI, FL
33186-4580

Practice Phone: 786-218-7690
Practice Fax: 305-259-6778

1992391130 — MELANIE GARCIA
Practice Location Address:

13595 SW 134TH AVE STE 210
MIAMI, FL
33186-4580

Practice Phone: 305-385-2474
Practice Fax: 305-547-9932

1417521311 — CORONADO MAXIMO HEALTH CARE INC
Practice Location Address:

13595 SW 134TH AVE STE 210
MIAMI, FL
33186-4580

Practice Phone: 305-385-2474
Practice Fax:

1043084320 — WII CARE KIDS THERAPY INC
Practice Location Address:

13595 SW 134TH AVE STE 204
MIAMI, FL
33186-4580

Practice Phone: 305-588-9424
Practice Fax:

1831900356 — TOP HEALTH CARE LLC
Practice Location Address:

13595 SW 134TH AVE STE 201
MIAMI, FL
33186-4580

Practice Phone: 305-984-4577
Practice Fax:

Directions to “ GUSTAVO ROLDAN ED.S., M.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.