Healthcare Provider Details

I. General information

NPI: 1952117731
Provider Name (Legal Business Name): NANCY DE LA CARIDAD ROJAS CORTES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2024
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2255 GLADES RD STE 324A
BOCA RATON FL
33431-8571
US

IV. Provider business mailing address

1217 STONEWAY LN
WEST PALM BEACH FL
33417-5664
US

V. Phone/Fax

Practice location:
  • Phone: 305-776-0296
  • Fax:
Mailing address:
  • Phone: 561-631-4693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-381264
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: