Provider Demographics
NPI:1083480560
Name:ROJO, ANA LOURDES II (APRN)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:LOURDES
Last Name:ROJO
Suffix:II
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1481 TAGUS AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33156-6405
Mailing Address - Country:US
Mailing Address - Phone:305-934-7676
Mailing Address - Fax:
Practice Address - Street 1:7765 SW 87TH AVE STE 120
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2535
Practice Address - Country:US
Practice Address - Phone:305-934-7676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11028673363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner