Provider Demographics
NPI:1376544072
Name:ROJAS, ALEX (MD)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:ROJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:ROJAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:805 E OAK ST STE 1
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34744-4576
Mailing Address - Country:US
Mailing Address - Phone:407-933-0021
Mailing Address - Fax:407-933-1490
Practice Address - Street 1:805 E OAK ST STE 1
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-4576
Practice Address - Country:US
Practice Address - Phone:407-933-0021
Practice Address - Fax:407-933-1490
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME76752207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL255074100Medicaid
44499AMedicare PIN
FL44499ZMedicare PIN
FL255074100Medicaid