MEDICARE: SARINET CANCEL 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	363A00000X	Physician Assistant	2211	PR

General Provider Information

NPI Number	:	1366255408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARINET CANCEL ROJAS

Provider Business Mailing Address
First Line	:	2965 AQUA VIRGO LOOP
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-4026
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2965 AQUA VIRGO LOOP
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-4026
Country	:	US
Telephone Number	:	407-489-6527
Fax Number	:

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

Provider Enumeration Date	:	01/31/2025
Last Update Date	:	02/04/2025

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Directions to “ SARINET CANCEL ROJAS ” Practice Location

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