Provider Demographics
NPI:1548396054
Name:ROJAS-ESPAILLAT, LUIS ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:ALEXANDER
Last Name:ROJAS-ESPAILLAT
Suffix:
Gender:M
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:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1000 E 21ST ST
Practice Address - Street 2:STE. 3000
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-1035
Practice Address - Country:US
Practice Address - Phone:605-322-7535
Practice Address - Fax:605-322-7540
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2009-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57.009555207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS6201492Medicaid
SDP00742606OtherRR MEDICARE
SDP00742606OtherRR MEDICARE