Healthcare Provider Details

I. General information

NPI: 1851501704
Provider Name (Legal Business Name): RAUL ENRIQUE STOREY-ROJAS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3730 7TH TERRACE STE 101
VERO BEACH FL
32960-6556
US

IV. Provider business mailing address

PO BOX 102222
ATLANTA GA
30368-2222
US

V. Phone/Fax

Practice location:
  • Phone: 772-581-0528
  • Fax: 772-581-0535
Mailing address:
  • Phone: 239-274-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberME111907
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: