Provider Demographics
NPI:1760833495
Name:ROJAS CAMAYO, JOSE ERNESTO (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:ERNESTO
Last Name:ROJAS CAMAYO
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 1:100 NE 15TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030-4577
Mailing Address - Country:US
Mailing Address - Phone:305-245-1100
Mailing Address - Fax:305-245-0852
Practice Address - Street 1:100 NE 15TH ST STE 104
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030-4577
Practice Address - Country:US
Practice Address - Phone:305-245-1100
Practice Address - Fax:305-245-0852
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-23
Last Update Date:2022-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282N00000X
FLME151868207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No282N00000XHospitalsGeneral Acute Care Hospital