Roldan, Carlos Mario

Roldan, Carlos Mario is an individual health care provider with primary practice located at 9969 Fredericksburg Rd , San Antonio TX 78240-4106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Palliative/Hospice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Roldan, Carlos Mario can be contacted via phone (210) 690-2273.

Contact Information

Primary practice address
9969 Fredericksburg Rd San Antonio TX 78240-4106
Phone: (210) 690-2273
Fax: (210) 581-8209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K6273 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Palliative/Hospice 2279P3800X K6273 Texas

Profile Details

NPI number 1356348635
LBN Legal business name Roldan, Carlos Mario
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Nov 1st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356348635 NPPES
Other 2152038 AETNA
Other 422006 AETNA
Other 8583769006 AETNA
Other 8583769005 AETNA
MEDICAID 1053605-01 AETNA
Other 161670007 AETNA
Other 4188977 AETNA
Other 737802 AETNA
Other 85270Y AETNA

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