Provider Demographics
NPI:1659503290
Name:ROJAS D'CROZ, MARIA CONSUELO (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CONSUELO
Last Name:ROJAS D'CROZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 KELTON CT APT 10A
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4861
Mailing Address - Country:US
Mailing Address - Phone:510-305-4722
Mailing Address - Fax:
Practice Address - Street 1:1510 4TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94710-1717
Practice Address - Country:US
Practice Address - Phone:510-525-8980
Practice Address - Fax:510-525-8982
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-16
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA108388207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine