Provider Demographics
NPI:1114304508
Name:ROJAS, FIOR D (MD)
Entity Type:Individual
Prefix:DR
First Name:FIOR
Middle Name:D
Last Name:ROJAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:FIOR
Other - Middle Name:
Other - Last Name:BAUTISTA BAEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:360 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3335
Mailing Address - Country:US
Mailing Address - Phone:407-788-8200
Mailing Address - Fax:407-788-3746
Practice Address - Street 1:360 DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3335
Practice Address - Country:US
Practice Address - Phone:407-788-8200
Practice Address - Fax:407-788-3746
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME124477207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015435600Medicaid
FLQE672OtherMEDICARE
FLME124477OtherMEDICAL LICENSE
FL116755100Medicaid
FLFR5331599OtherDEA CERTIFICATE
FLME124477OtherMEDICAL LICENSE
FLIG172XMedicare PIN