Healthcare Provider Details

I. General information

NPI: 1427887371
Provider Name (Legal Business Name): MARGARITA ROJAS GUTIERREZ M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 ERWIN RD
DURHAM NC
27705-4699
US

IV. Provider business mailing address

2622 CHAPEL HILL RD
DURHAM NC
27707-1958
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-3937
  • Fax:
Mailing address:
  • Phone: 908-943-2079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2024-02141
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: