Provider Demographics
NPI:1710234547
Name:ROJAS MARTE, GEURYS RAFAEL (MD)
Entity Type:Individual
Prefix:
First Name:GEURYS
Middle Name:RAFAEL
Last Name:ROJAS MARTE
Suffix:
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 1:501 SEAVIEW AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-3400
Mailing Address - Country:US
Mailing Address - Phone:718-663-7000
Mailing Address - Fax:718-283-8956
Practice Address - Street 1:501 SEAVIEW AVE STE 300
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3400
Practice Address - Country:US
Practice Address - Phone:718-663-7000
Practice Address - Fax:718-663-7090
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY299938207RC0000X, 207RA0001X, 207RA0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0001XAllopathic & Osteopathic PhysiciansInternal MedicineAdvanced Heart Failure and Transplant Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25MA10023200OtherMEDICAL LICENSE
NY299938OtherNY STATE DEPARTMENT OF EDUCATION