MEDICARE: DR. RODOLFO ROJO M.D.

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	207P00000X	Emergency Medicine Physician	MD041247L	PA

General Provider Information

NPI Number	:	1518944925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RODOLFO ROJO M.D.

Provider Business Mailing Address
First Line	:	12864 BISCAYNE BLVD
Second Line	:	#365
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2007
Country	:	US
Telephone Number	:	267-968-1520
Fax Number	:

Provider Business Practice Location Address
First Line	:	12864 BISCAYNE BLVD
Second Line	:	#365
City	:	NORTH MIAMI
State	:	FL
Zip	:	33181-2007
Country	:	US
Telephone Number	:	267-968-1520
Fax Number	:

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

Provider Enumeration Date	:	12/28/2005
Last Update Date	:	07/08/2007

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