Provider Demographics
NPI:1366830051
Name:ROJAS, MARTHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:
Last Name:ROJAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 E SAN YSIDRO BLVD # 3254
Mailing Address - Street 2:
Mailing Address - City:SAN YSIDRO
Mailing Address - State:CA
Mailing Address - Zip Code:92173
Mailing Address - Country:US
Mailing Address - Phone:619-730-1669
Mailing Address - Fax:
Practice Address - Street 1:9378 IGNACIO COMONFORT
Practice Address - Street 2:ZONA RIO
Practice Address - City:TIJUANA
Practice Address - State:B.C.
Practice Address - Zip Code:22020
Practice Address - Country:MX
Practice Address - Phone:664-684-9793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-02
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ65061641223E0200X
ZZ42542161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223E0200XDental ProvidersDentistEndodontics