Healthcare Provider Details

I. General information

NPI: 1669001152
Provider Name (Legal Business Name): OSCAR ALBERTO ROJAS DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 07/12/2023
Certification Date: 07/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5130 LINTON BLVD STE G1
DELRAY BEACH FL
33484-6597
US

IV. Provider business mailing address

7901 4TH ST N STE 4000
ST PETERSBURG FL
33702-4305
US

V. Phone/Fax

Practice location:
  • Phone: 561-330-4695
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO4365
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: