Healthcare Provider Details

I. General information

NPI: 1699640292
Provider Name (Legal Business Name): RACHEL ROJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 SW 107TH AV.
MIAMI DADE FL
33139-1731
US

IV. Provider business mailing address

220 23RD ST
MIAMI BEACH FL
33139-1731
US

V. Phone/Fax

Practice location:
  • Phone: 305-209-0038
  • Fax: 305-675-7767
Mailing address:
  • Phone: 305-209-0038
  • Fax: 305-675-7767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: