Individual
MR. LUIS-ALEJANDRO ROLDAN CUBIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
14555 W NATIONAL AVE, NEW BERLIN, WI 53151-4494
(844) 284-0381
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209029946
IL
363L00000X
Nurse Practitioner
Primary
8641
WI
363LF0000X
Family Nurse Practitioner
8641-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082251
—
WI
Enumeration date
07/27/2018
Last updated
02/12/2025
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