Provider Demographics
NPI:1275895187
Name:ROJAS, XIOMARA M
Entity Type:Individual
Prefix:MS
First Name:XIOMARA
Middle Name:M
Last Name:ROJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 DREISER LOOP
Mailing Address - Street 2:APT # 21D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-1902
Mailing Address - Country:US
Mailing Address - Phone:917-686-0118
Mailing Address - Fax:
Practice Address - Street 1:322 CEDARWOOD HALL
Practice Address - Street 2:
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1571
Practice Address - Country:US
Practice Address - Phone:914-493-8719
Practice Address - Fax:914-493-8066
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator