Provider Demographics
NPI:1598232795
Name:ROJAS, NICOLE MARTINEZ (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:MARTINEZ
Last Name:ROJAS
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7907 SW 104TH ST APT H203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-3671
Mailing Address - Country:US
Mailing Address - Phone:305-582-2460
Mailing Address - Fax:
Practice Address - Street 1:4770 BISCAYNE BLVD STE 780
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3232
Practice Address - Country:US
Practice Address - Phone:305-582-2460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10248103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical