Provider Demographics
NPI:1275628877
Name:ROJAS, PEDRO RAFAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:RAFAEL
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 WESTCHESTER AVE
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2805
Mailing Address - Country:US
Mailing Address - Phone:914-937-6085
Mailing Address - Fax:914-934-3253
Practice Address - Street 1:430 WESTCHESTER AVE
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-2805
Practice Address - Country:US
Practice Address - Phone:914-937-6085
Practice Address - Fax:914-934-3253
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY125894207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WP625OtherOXFORD
188999POtherHIP
C31179OtherHEALTHNET
NY30191OtherBCBS
301911Medicare ID - Type Unspecified
B12585Medicare UPIN