Provider Demographics
NPI:1538127915
Name:ROJAS, TRINIDAD JOSEFINA (MD)
Entity Type:Individual
Prefix:DR
First Name:TRINIDAD
Middle Name:JOSEFINA
Last Name:ROJAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2331 MILL ROAD
Mailing Address - Street 2:SUITE # 100
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4677
Mailing Address - Country:US
Mailing Address - Phone:703-224-8873
Mailing Address - Fax:703-224-8801
Practice Address - Street 1:2331 MILL ROAD
Practice Address - Street 2:SUITE # 100
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4677
Practice Address - Country:US
Practice Address - Phone:703-224-8873
Practice Address - Fax:703-224-8801
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME396312080A0000X
VA01010298682080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272394800Medicaid
FL272394800Medicaid