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General NPI Number Information
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NPI Number | 1417123209
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Entity Type | Individual
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Provider Name | MABEL P ROJAS-VIVAS MD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 5564 E GRANT ST
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City | ORLANDO
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State | FL
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Zip | 32822-1666
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Country | US
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Telephone | 321-235-6230
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Fax | 321-235-6246
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Provider Business Mailing Address
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Address Line | 1000 NW 57TH CT STE 400
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City | MIAMI
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State | FL
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Zip | 33126-3292
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Country | US
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Telephone | 407-956-1920
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Fax | 689-304-0303
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN1081
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License Number State | FL
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