Provider Demographics
NPI:1043421183
Name:ROJAS, RAPHAEL ALEXANDER (DC)
Entity Type:Individual
Prefix:DR
First Name:RAPHAEL
Middle Name:ALEXANDER
Last Name:ROJAS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 AYRSLEY TOWN BLVD
Mailing Address - Street 2:SUITE E
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-3541
Mailing Address - Country:US
Mailing Address - Phone:704-542-5858
Mailing Address - Fax:704-541-3066
Practice Address - Street 1:2135 AYRSLEY TOWN BLVD
Practice Address - Street 2:SUITE E
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-3541
Practice Address - Country:US
Practice Address - Phone:704-542-5858
Practice Address - Fax:704-541-3066
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2011-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1732111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist