Provider Demographics
NPI:1639511314
Name:JORGE R ROJERO MD PA
Entity Type:Organization
Organization Name:JORGE R ROJERO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:ROBERTO
Authorized Official - Last Name:ROJERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-594-1033
Mailing Address - Street 1:10555 VISTA DEL SOL DR
Mailing Address - Street 2:#200
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-7942
Mailing Address - Country:US
Mailing Address - Phone:915-594-1033
Mailing Address - Fax:915-594-1263
Practice Address - Street 1:10555 VISTA DEL SOL DR
Practice Address - Street 2:#200
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-7942
Practice Address - Country:US
Practice Address - Phone:915-594-1033
Practice Address - Fax:915-594-1263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty