Provider Demographics
NPI:1508106220
Name:LEAL-DE ROJAS, VANESSA ALIDA (ARNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:ALIDA
Last Name:LEAL-DE ROJAS
Suffix:
Gender:F
Credentials:ARNP-BC
Other - Prefix:MS
Other - First Name:VANESSA
Other - Middle Name:ALIDA
Other - Last Name:LEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP-BC
Mailing Address - Street 1:5975 SUNSET DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5166
Mailing Address - Country:US
Mailing Address - Phone:305-666-4044
Mailing Address - Fax:305-667-8387
Practice Address - Street 1:5975 SUNSET DR
Practice Address - Street 2:SUITE 103
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5166
Practice Address - Country:US
Practice Address - Phone:305-666-4044
Practice Address - Fax:305-667-8387
Is Sole Proprietor?:No
Enumeration Date:2013-02-15
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9280344363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health