Provider Demographics
NPI:1730178690
Name:ROJAS, ROMEO E (MD)
Entity type:Individual
Prefix:
First Name:ROMEO
Middle Name:E
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 960297
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33296-0297
Mailing Address - Country:US
Mailing Address - Phone:305-259-7111
Mailing Address - Fax:305-255-1752
Practice Address - Street 1:12002 SW 128TH CT STE 204
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4643
Practice Address - Country:US
Practice Address - Phone:305-259-7111
Practice Address - Fax:305-255-1752
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME83732207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL611411870OtherTAX ID
FL263322100Medicaid
FLH53249Medicare UPIN