Healthcare Provider Details

I. General information

NPI: 1689762783
Provider Name (Legal Business Name): ALVARO ROJAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 11/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4452 EASTGATE BLVD
CINCINNATI OH
45245-1584
US

IV. Provider business mailing address

PO BOX 630130
CINCINNATI OH
45263-0001
US

V. Phone/Fax

Practice location:
  • Phone: 513-752-8700
  • Fax: 513-752-8814
Mailing address:
  • Phone: 513-891-2813
  • Fax: 513-793-1032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALVARO ROJAS
Title or Position: PRESIDENT
Credential: MD
Phone: 513-752-8700