Healthcare Provider Details

I. General information

NPI: 1922916089
Provider Name (Legal Business Name): AILEN ROJAS GARCIA PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1738 SW 57TH AVE
MIAMI FL
33155-2137
US

IV. Provider business mailing address

1738 SW 57TH AVE
MIAMI FL
33155-2137
US

V. Phone/Fax

Practice location:
  • Phone: 786-641-8364
  • Fax:
Mailing address:
  • Phone: 786-641-8364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11050135
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: