MEDICARE: SANDRA SERRANO ROJAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225631419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA SERRANO ROJAS

Provider Business Mailing Address
First Line	:	710 NW 3RD ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-2474
Country	:	US
Telephone Number	:	480-656-3530
Fax Number	:

Provider Business Practice Location Address
First Line	:	710 NW 3RD ST
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33993-2474
Country	:	US
Telephone Number	:	480-656-3530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2020
Last Update Date	:	03/09/2026

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Directions to “ SANDRA SERRANO ROJAS ” Practice Location

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