MEDICARE: JIOLVER SALVADOR MARTIN ROJAS MD

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	ARNP 9361098	FL
2	390200000X	Student in an Organized Health Care Education/Training Program	TRN39743	FL
3	2084P0800X	Psychiatry Physician	TRN39743	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1760846786
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JIOLVER SALVADOR MARTIN ROJAS MD

Provider Business Mailing Address
First Line	:	4225 W 20TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5826
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4225 W 20TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-5835
Country	:	US
Telephone Number	:	305-558-9700
Fax Number	:	305-362-5964

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

Provider Enumeration Date	:	04/06/2016
Last Update Date	:	08/16/2024

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