Healthcare Provider Details

I. General information

NPI: 1144493479
Provider Name (Legal Business Name): CARMINA M ROJAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2008
Last Update Date: 03/04/2020
Certification Date: 03/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

356 CALLE ENSENADA
SAN JUAN PR
00920-3501
US

IV. Provider business mailing address

PO BOX 94
CAROLINA PR
00986-0094
US

V. Phone/Fax

Practice location:
  • Phone: 787-781-3055
  • Fax: 787-781-4008
Mailing address:
  • Phone: 787-776-3511
  • Fax: 787-757-2039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number459
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: