Provider Demographics
NPI:1467133033
Name:ROJAS, YURISAN (MSW)
Entity Type:Individual
Prefix:
First Name:YURISAN
Middle Name:
Last Name:ROJAS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:YURISAN
Other - Middle Name:
Other - Last Name:ROJAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:1400 NE MIAMI GARDENS DR STE 103
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33179-4843
Mailing Address - Country:US
Mailing Address - Phone:305-244-0971
Mailing Address - Fax:727-897-8022
Practice Address - Street 1:1400 NE MIAMI GARDENS DR STE 103
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33179-4843
Practice Address - Country:US
Practice Address - Phone:305-244-0971
Practice Address - Fax:727-897-8022
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-27
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty