Provider Demographics
NPI:1669176863
Name:ROLDAN TORRES, MILLINETTE (FNP-BC)
Entity type:Individual
Prefix:
First Name:MILLINETTE
Middle Name:
Last Name:ROLDAN TORRES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 AVE FELISA RINCON
Mailing Address - Street 2:LAS VISTAS SHOPPING VILLAGE SUITE #43
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-5970
Mailing Address - Country:US
Mailing Address - Phone:787-761-5880
Mailing Address - Fax:
Practice Address - Street 1:300 AVE FELISA RINCON
Practice Address - Street 2:LAS VISTAS SHOPPING VILLAGE SUITE #43
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-5970
Practice Address - Country:US
Practice Address - Phone:787-761-5880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-30
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4543363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily