MEDICARE: DR. LUIS C ROJAS SR. 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	2084P0800X	Psychiatry Physician	10398	PR

General Provider Information

NPI Number	:	1922010065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS C ROJAS SR. MD

Provider Business Mailing Address
First Line	:	1056 CALLE FERROCARRIL
Second Line	:
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00925-3028
Country	:	US
Telephone Number	:	787-765-9190
Fax Number	:	787-759-8933

Provider Business Practice Location Address
First Line	:	1056 CALLE FERROCARRIL
Second Line	:
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00925-3028
Country	:	US
Telephone Number	:	787-765-9190
Fax Number	:	787-759-8933

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/09/2007

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