Provider Demographics
NPI:1003900606
Name:ROJAS, JUAN CARLOS (MD)
Entity Type:Individual
Prefix:
First Name:JUAN CARLOS
Middle Name:
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 GREENRIDGE AVE
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-1238
Mailing Address - Country:US
Mailing Address - Phone:914-937-6085
Mailing Address - Fax:914-934-3253
Practice Address - Street 1:12 GREENRIDGE AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-1238
Practice Address - Country:US
Practice Address - Phone:914-937-6085
Practice Address - Fax:914-934-3253
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236004207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY81N88OtherBC/BS
0D2404OtherHEALTHNET
2550797OtherUNITEDHEALTHCARE
P3631384OtherOXFORD
0D2404OtherHEALTHNET
81N881Medicare ID - Type Unspecified