MEDICARE: MARTHA ROJO P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN9419902	FL
2	363AM0700X	Medical Physician Assistant	2943-P.A.	PR
3	363A00000X	Physician Assistant	2943-P.A.	PR

General Provider Information

NPI Number	:	1013312156
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTHA ROJO P.A.

Provider Business Mailing Address
First Line	:	9315 SW 172ND TER
Second Line	:
City	:	PALMETTO BAY
State	:	FL
Zip	:	33157-4443
Country	:	US
Telephone Number	:	305-915-1795
Fax Number	:

Provider Business Practice Location Address
First Line	:	9315 SW 172ND TER
Second Line	:
City	:	PALMETTO BAY
State	:	FL
Zip	:	33157-4443
Country	:	US
Telephone Number	:	305-915-1795
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2014
Last Update Date	:	12/09/2025

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Directions to “ MARTHA ROJO P.A.” Practice Location

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