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NPI Code Detail

MEDICARE: ROJHALEX ENTERPRISER LLC

MEDICARE: ROJHALEX ENTERPRISER LLC
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
1343900000XNon-emergency Medical Transport (VAN)224VA

General Provider Information

NPI Number : 1063934545
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROJHALEX ENTERPRISER LLC
Provider Business Mailing Address
First Line : 3158 CEDAR GROVE DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-1708
Country : US
Telephone Number : 703-899-9918
Fax Number : 703-563-6096
Provider Business Practice Location Address
First Line : 3158 CEDAR GROVE DR
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-1708
Country : US
Telephone Number : 703-899-9918
Fax Number : 703-563-6096
Authorized Official
Title or Position : MEMBER
Name : MR. JOSE DAVID HERRERA
Credential : MD
Telephone Number : 703-899-9918
Provider Enumeration Date : 07/17/2017
Last Update Date : 07/17/2017

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Directions to “ROJHALEX ENTERPRISER LLC ” Practice Location

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