Provider Demographics
NPI:1629188503
Name:ROJAS, JOSE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:ROJAS
Suffix:JR
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 1:7600 W SUNRISE BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4115
Mailing Address - Country:US
Mailing Address - Phone:954-939-5305
Mailing Address - Fax:954-618-4347
Practice Address - Street 1:ENVISION PHYSICIAN SERVICES
Practice Address - Street 2:7600 W. SUNRISE BLVD
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4113
Practice Address - Country:US
Practice Address - Phone:954-939-5305
Practice Address - Fax:954-618-4347
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY200861207LP2900X
NJ25MA06674900207LP2900X
FLME135211207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7733101Medicaid
NJ020397Medicare ID - Type Unspecified
NJ7733101Medicaid