Provider Demographics
NPI:1124698212
Name:ROLDAN, WESLIN ABISAI (RN)
Entity type:Individual
Prefix:MR
First Name:WESLIN
Middle Name:ABISAI
Last Name:ROLDAN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2426 NW 81ST TER APT B
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-4838
Mailing Address - Country:US
Mailing Address - Phone:786-200-1254
Mailing Address - Fax:
Practice Address - Street 1:2426 NW 81ST TER APT B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-4838
Practice Address - Country:US
Practice Address - Phone:786-200-1254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9437736163W00000X
FL11017232367500000X
TX1067939367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse