Healthcare Provider Details

I. General information

NPI: 1295982197
Provider Name (Legal Business Name): MARIA L ROJAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2008
Last Update Date: 08/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DISPENSARIO CFSE CARR 159 K1.5
COROZAL PR
00783
US

IV. Provider business mailing address

SANS SOUCI ST 1 L-12
BAYAMON PR
00957
US

V. Phone/Fax

Practice location:
  • Phone: 787-859-0466
  • Fax: 787-859-1475
Mailing address:
  • Phone: 787-797-1992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number5852
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number5852
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: