MEDICARE: VICTORIA A ROJAS FNP

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	AP141036	TX

General Provider Information

NPI Number	:	1487113718
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA A ROJAS FNP

Provider Business Mailing Address
First Line	:	6101 BLUE LAGOON DR STE 200
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3168
Country	:	US
Telephone Number	:	561-570-5172
Fax Number	:	786-472-5770

Provider Business Practice Location Address
First Line	:	1339 FAIR AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78223-1437
Country	:	US
Telephone Number	:	210-798-7765
Fax Number	:	210-798-7767

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

Provider Enumeration Date	:	03/16/2019
Last Update Date	:	10/11/2022

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