Healthcare Provider Details

I. General information

NPI: 1588971485
Provider Name (Legal Business Name): LETICIA GELY ROJAS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2010
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 AVE HOSTOS APT 323 COND MONTE NORTE
SAN JUAN PR
00918-4244
US

IV. Provider business mailing address

PO BOX 533
MANATI PR
00674-0533
US

V. Phone/Fax

Practice location:
  • Phone: 787-226-3257
  • Fax: 787-296-4233
Mailing address:
  • Phone: 787-226-3257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number29218-R
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number20758
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: