Provider Demographics
NPI:1922010065
Name:ROJAS, LUIS C SR (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:C
Last Name:ROJAS
Suffix:SR
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 1:1056 CALLE FERROCARRIL
Mailing Address - Street 2:
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00925-3028
Mailing Address - Country:US
Mailing Address - Phone:787-765-9190
Mailing Address - Fax:787-759-8933
Practice Address - Street 1:1056 CALLE FERROCARRIL
Practice Address - Street 2:
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00925-3028
Practice Address - Country:US
Practice Address - Phone:787-765-9190
Practice Address - Fax:787-759-8933
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR103982084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR8-7729Medicare UPIN