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NPI Code Detail

MEDICARE: SUSAN ROJAS M.D.

MEDICARE: SUSAN ROJAS M.D.
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
1207Q00000XFamily Medicine Physician108269FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1IC703ZOTHERFLMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811160336
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN ROJAS M.D.
Provider Business Mailing Address
First Line : 8600 NW 41ST ST
Second Line :
City : DORAL
State : FL
Zip : 33166-6202
Country : US
Telephone Number : 305-642-5366
Fax Number :
Provider Business Practice Location Address
First Line : 7950 NW 2ND ST
Second Line :
City : MIAMI
State : FL
Zip : 33126-8017
Country : US
Telephone Number : 305-642-5366
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2008
Last Update Date : 04/22/2015

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