MEDICARE: MARIA ALEJANDRA ARANGO ROJAS PA-C

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	PA9113448	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PENDING	OTHER	FL	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1588289722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ALEJANDRA ARANGO ROJAS PA-C

Provider Business Mailing Address
First Line	:	1421 MALABAR RD NE STE 200
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-2559
Country	:	US
Telephone Number	:	321-308-2660
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 MALABAR RD NE STE 200
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-2559
Country	:	US
Telephone Number	:	321-308-2660
Fax Number	:

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

Provider Enumeration Date	:	06/13/2020
Last Update Date	:	11/18/2020

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Directions to “ MARIA ALEJANDRA ARANGO ROJAS PA-C” Practice Location

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