Provider Demographics
NPI:1083634976
Name:ROJAS, ANGEL J (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:J
Last Name:ROJAS
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2836 SW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-1327
Mailing Address - Country:US
Mailing Address - Phone:305-643-5328
Mailing Address - Fax:
Practice Address - Street 1:2169 W FLAGLER ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-1638
Practice Address - Country:US
Practice Address - Phone:305-541-5702
Practice Address - Fax:305-541-5003
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDO 3109156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician