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NPI Code Detail

MEDICARE: DR. RAUL ENRIQUE STOREY-ROJAS M.D.

MEDICARE: DR. RAUL ENRIQUE STOREY-ROJAS 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
1207RH0003XHematology & Oncology PhysicianME111907FL
2207RX0202XMedical Oncology PhysicianME111907FL

Other Identifiers

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

General Provider Information

NPI Number : 1851501704
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAUL ENRIQUE STOREY-ROJAS M.D.
Provider Business Mailing Address
First Line : PO BOX 102222
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2222
Country : US
Telephone Number : 239-274-8200
Fax Number :
Provider Business Practice Location Address
First Line : 3730 7TH TERRACE
Second Line : STE 101
City : VERO BEACH
State : FL
Zip : 32960-6556
Country : US
Telephone Number : 772-581-0528
Fax Number : 772-581-0535
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 09/02/2022

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