MEDICARE: ROLANDO CASTELLANOS 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	363LF0000X	Family Nurse Practitioner	11029898	FL

General Provider Information

NPI Number	:	1376051862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROLANDO CASTELLANOS ROJAS

Provider Business Mailing Address
First Line	:	11312 SW 134TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4342
Country	:	US
Telephone Number	:	305-330-0888
Fax Number	:

Provider Business Practice Location Address
First Line	:	11312 SW 134TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4342
Country	:	US
Telephone Number	:	305-330-0888
Fax Number	:

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

Provider Enumeration Date	:	01/18/2018
Last Update Date	:	12/03/2023

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Directions to “ ROLANDO CASTELLANOS ROJAS ” Practice Location

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