Provider Demographics
NPI:1558023986
Name:ROJAS MORALES, DAGMELYS
Entity Type:Individual
Prefix:
First Name:DAGMELYS
Middle Name:
Last Name:ROJAS MORALES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20510 SW 84TH AVE
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-2616
Mailing Address - Country:US
Mailing Address - Phone:786-923-7774
Mailing Address - Fax:
Practice Address - Street 1:20510 SW 84TH AVE
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-2616
Practice Address - Country:US
Practice Address - Phone:786-923-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker