Provider Demographics
NPI:1043944747
Name:ROJAS MARTINEZ, LUIS RAFAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:RAFAEL
Last Name:ROJAS MARTINEZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 E 53RD ST APT 3C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4856
Mailing Address - Country:US
Mailing Address - Phone:863-450-9436
Mailing Address - Fax:
Practice Address - Street 1:915 ELIZABETH AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2791
Practice Address - Country:US
Practice Address - Phone:908-325-9666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DIO29185001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice