Individual
DR. CARLOS MARIO ROLDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9969 FREDERICKSBURG RD, SAN ANTONIO, TX 78240-4106
(210) 690-2273
(210) 581-8209
Mailing address
9969 FREDERICKSBURG RD, SAN ANTONIO, TX 78240-4106
(210) 690-2273
(210) 581-8209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K6273
TX
2279P3800X
Palliative/Hospice Registered Respiratory Therapist
K6273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053605-01
—
TX
01
—
161670007
PACIFICARE
—
01
—
2152038
AETNA
—
01
—
4188977
BLUELINK
—
01
—
422006
ONE HEALTH
—
01
—
737802
HUMANA GOLD
—
01
—
85270Y
BCBS
—
01
—
8583769005
CIGNA POS
—
01
—
8583769006
CIGNA HMO
—
Enumeration date
07/01/2005
Last updated
11/01/2011
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