Roldan Cubides, Luis-Alejandro

Roldan Cubides, Luis-Alejandro is an individual health care provider with primary practice located at 14555 W National Ave , New Berlin WI 53151-4494. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Roldan Cubides, Luis-Alejandro can be contacted via phone (844) 284-0381.

Contact Information

Primary practice address
14555 W National Ave New Berlin WI 53151-4494
Phone: (844) 284-0381
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209029946 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 8641-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8641 Wisconsin

Profile Details

NPI number 1184101586
LBN Legal business name Roldan Cubides, Luis-Alejandro
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2018
Last updated Feb 12th, 2025 - about last year

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 1184101586 NPPES
Wisconsin MEDICAID 100082251

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